蛋白尿是肾脏疾病患者常见的临床表现,控制或消除蛋白尿是多种肾脏疾病治疗的核心环节.目前西医对蛋白尿的干预多以治疗原发病为主,中医药对蛋白尿的探讨也多局限于单一疾病之中.国医大师王庆国在继承刘渡舟先生学术思想基础上,从少阴肾之枢机运转不灵,玄府开阖失序的角度认识该异常指标背后的中医病机,并拓展了燕京刘氏伤寒学派经验方荆防肾炎汤的临床应用.从肾之枢机与玄府理论的宏观、微观两重视角,探讨荆防肾炎汤对蛋白尿的治疗作用,以期为蛋白尿患者提供更多的治疗手段.
Proteinuria is a common clinical manifestation of patients with kidney diseases,and also the core link in the treatment of various kidney diseases.At present,the treatment of proteinuria in Western medicine mainly focuses on the treatment of its primary disease,while its exploration in traditional Chinese medicine is mostly limited to a single disease.On the basis of inheriting the academic thought of Liu Duzhou,Professor Wang Qingguo,a master of TCM,interprets the pathogenesis of its abnormal indexes from the perspective of the improper operation of Shaoyin kidney's pivot mechanisms and the disorder of Xuanfu opening and closing,expanding the clinical application of Jingfang Shenyan Decoction,an empirical prescription of Yanjing Liushi Shanghan School.This paper,from both the macro and micro perspectives of the kidney's pivot mechanisms and the Xuanfu theory,explores the therapeutic effect of Jingfang Shenyan Decoction in the treatment of proteinuria,aiming to provide more therapeutic options for patients with proteinuria.