| 引用本文:张林，薛小琴，胡樱丽，王喜红，梁峰，唐阁.基于“大气”理论论治高危特发性膜性肾病[J].世界中医药,2021,(07):. |
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| 基于“大气”理论论治高危特发性膜性肾病 |
| Treatment of High Risk Idiopathic Membranous Nephropathy Based on “Da Qi” |
| 投稿时间：2020-07-21 |
| DOI：10.3969/j.issn.1673-7202.2021.07.018 |
| 中文关键词: 高危 特发性膜性肾病 大气 蛋白尿 感染 血栓栓塞 |
| English Keywords:High risk Idiopathic membranous nephropathy Da Qi Proteinuria Infection Thromboembolism |
| 基金项目:国家自然科学基金青年基金资助项目(81503393) |
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| 中文摘要: |
| 膜性肾病（Membranous Nephropathy，MN）是一种慢性肾脏疾病，发病高峰期在30～50岁，60%～80%膜性肾病表现为肾病综合征。特发性膜性肾病（Idiopathic Membranous Nephropathy，IMN），约占膜性肾病的2/3，根据尿蛋白的量可以分成低危、中危、高危3个等级。中医学认为，“大气”亏虚是高危IMN的发病原因，进而导致“大气”“滞而不运、脱而不升、散而不聚”的病理状态，临床根究“大气”的不同病理状态，可以从“补气清源、活血澄源、固肾复源”3方面来治疗高危IMN，对临床有一定指导意义。 |
| English Summary: |
| Membranous Nephropathy(MN) is a kind of chronic nephritic disease.The peak period of onset is from 30 to 50 years old，and 60% to 80% of membranous nephropathy is characterized by nephrotic syndrome(NS).Idiopathic Membranous Nephropathy(IMN) accounts for about 2/3 of membranous nephropathy.According to the amount of urine protein，it can be divided into three grades:the low，medium and high-risk.TCM holds that “Da Qi” deficiency is the etiology of high-risk IMN，leading “Da Qi” to the pathology of “delay shipment，and do not rise，but not to get together”.Clinical research on the different pathological states of “Da Qi” shows that high-risk IMN from three aspects of “tonifying qi and clearing the source，promoting blood circulation and clarifying the source，and strengthening the kidney and restoring the source”，which has certain guiding significance for clinical practice. |
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