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史伟六经与三焦辨证结合治疗肾病综合征经验探析

Analysis of SHI Wei’s Experience in Treating Nephrotic Syndrome by Combining Six Meridians and Three Jiao Syndrome Differentiation
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摘要 史伟教授认为肾病综合征多因外邪侵犯,其辨治可遵循《伤寒论》的六经辨证,由于肾病综合征以脾肾亏损为本,故太阴少阴同治应贯穿肾病综合征各个阶段,以守应变,灵机变通。广西地区处亚热带,暑热下逼,湿气上腾,湿热交蒸,壅滞三焦,因此广西地域的肾病综合征往往具有湿热病的特点,史伟教授在六经辨证的基础上采用三焦辨治,遣方用药,取得显著疗效。 Professor SHI Wei believes that nephrotic syndrome is often caused by external pathogenic invasion,and its diagnosis and treatment should follow the Six-Channel Syndrome Differentiation in the Treatise on Febrile Diseases.Because nephrotic syndrome is primarily characterized by spleen and kidney deficiency,the Taiyin and Shaoyin merid-ians should be treated simultaneously throughout all stages of the syndrome,maintaining a flexible and adaptable ap-proach.Guangxi is located in the subtropics,where summer heat descends and dampness rises,creating a stagnation of dampness and heat,which stagnates the triple energizer(Sanjiao).Therefore,nephrotic syndrome in Guangxi often ex-hibits the characteristics of damp-heat syndromes.Based on the Six-Channel Syndrome Differentiation,Professor Shi Wei adopted the Triple energizer differentiation and treatment,achieving remarkable therapeutic results.
作者 张凤梅 乔海涛 陈延强 ZHANG Fengmei;QIAO Haitao;CHEN Yanqiang(Guangxi University of Traditional Chinese Medicine,Guangxi Nanning 530023,China)
机构地区 广西中医药大学
出处 《中医药临床杂志》 2025年第9期1721-1724,共4页 Clinical Journal of Traditional Chinese Medicine
基金 广西中医药优秀人才研修项目(桂中医药科教发[2022]14号) 广西壮族自治区2017年十大工程项目(桂卫中医发[2017]2号)史伟名医传承工作室。
关键词 六经辨证 三焦辨证 肾病综合征 史伟 Six-Channel syndrome differentiation Triple energizer syndrome differentiation Nephrotic syndrome SHI Wei
作者简介 张凤梅(1998-),女,在读研究生。研究方向:中医药防治肾病及风湿病的研究。E-mail:180427166@qq.com;通信作者:陈延强(1977-),男,主任医师,硕士。研究方向:中医药防治肾病及风湿病的研究。E-mail:zhongyike88@163.com。
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