【摘要】 本文通过从历代医家认识、病因病机、治则治法、医案举隅等总结陈洪宇教授诊治IgA肾病的中医经验。在对历代医家认识的基础上探讨IgA肾病的病因病机,提出气阴两虚证是IgA肾病发病最重要的病理基础,气滞、风湿、湿热邪、瘀血是重要的致病因素,外感寒邪、热邪、风邪等是重要诱因,重视疏风宣肺解表、益气养阴、健脾益肾、行气、祛风除湿、活血祛瘀消癥在IgA肾病中的应用。通过临床实践证实陈洪宇教授诊治IgA肾病的经验具有较好疗效,可供同道参考。更多还原

【Abstract】 This article summarizes the experience of Professor CHEN Hongyu in the diagnosis and treatment of IgA nephropathy from the understanding of the history of doctors, etiology and pathogenesis, treatment principles, and treatment methods, and examples of medical records. IgA nephropathy′s etiology and pathogenesis were explored based on the knowledge of physicians of the past dynasties. Professor CHEN Hongyu proposed that the deficiency of both Qi and Yin is the most critical pathological basis for the pathogenesis of IgA nephropathy.Qi stagnation, rheumatism,damp heat,and blood stasis are critical pathogenic factors.Cold pathogens, heat pathogens,wind pathogens, etc. are important inducements. Attention should be paid to the application of dispelling wind and promoting lung and relieving appearance, replenishing qi and nourishing yin, invigorating spleen and kidney, promoting qi, dispelling wind and removing dampness, promoting blood circulation and removing blood stasis in IgA nephropathy.The clinical practice proved that Professor CHEN Hongyu′s experience in the diagnosis and treatment of IgA nephropathy has a good effect,which can be used as a reference for colleagues.更多还原