本文選題：腎性血尿　切入點(diǎn)：中醫(yī)藥辨治　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：腎性血尿是指血尿源于腎小球,可見于原發(fā)或繼發(fā)性腎小球疾病,可隱匿起病,不易發(fā)現(xiàn),且病程遷延,易于復(fù)發(fā)。根據(jù)腎性血尿特點(diǎn)將其歸為中醫(yī)的“尿血”范疇,早在《黃帝內(nèi)經(jīng)》中就有關(guān)于本病的記載,《素問》中稱之為“溲血”、“溺血”。導(dǎo)師何學(xué)紅根據(jù)三十余年臨床經(jīng)驗(yàn)與自身體悟,運(yùn)用中醫(yī)辨證論治體系,針對(duì)不同證型腎性血尿患者因證立法,依法選方,隨癥加減,屢有效驗(yàn)。她認(rèn)為腎性血尿的發(fā)生病位雖在腎與膀胱,但與心肝脾肺關(guān)系密切,因血液生化于脾,藏于肝,統(tǒng)于心,上輸于肺,化精于腎,脈為血液運(yùn)行的通道,任一臟受邪均可致血溢脈外,而發(fā)生血尿。本病病理性質(zhì)屬本虛標(biāo)實(shí),或虛實(shí)夾雜。虛者多為脾腎兩虛或腎陰虧虛,實(shí)者多為外受風(fēng)熱或濕熱之邪,虛實(shí)夾雜者因病情遷延反復(fù)發(fā)作,因?qū)嵵绿?因虛致瘀,而致虛實(shí)夾雜。所以導(dǎo)師在本病的辨證分型上根據(jù)感邪輕重和臟腑虛實(shí)的不同,從邪實(shí)、正虛、虛實(shí)夾雜三方面辨證施治。邪實(shí)者分為:風(fēng)熱襲肺、心營(yíng)熱盛、脾虛濕盛、肝火上炎、膀胱濕熱;正虛者分為:陰虛火旺、脾不統(tǒng)血、脾腎氣陰兩虛;虛實(shí)夾雜者為瘀血內(nèi)阻。治療上邪實(shí)者宜祛邪為主,兼涼血止血;正虛者宜扶正為主,兼涼血化瘀止血;虛實(shí)夾雜者宜化瘀為主,兼扶正。導(dǎo)師自創(chuàng)具有益氣養(yǎng)陰,涼血止血功效的驗(yàn)方——降血丹,針對(duì)脾腎氣陰兩虛型血尿患者頗有效驗(yàn)。除藥物治療外,導(dǎo)師還強(qiáng)調(diào)病后的預(yù)防與調(diào)護(hù)的重要性,體現(xiàn)了中醫(yī)“未病先防,既病防變”的特點(diǎn)。
[Abstract]:Renal hematuria is defined as hematuria derived from glomeruli, which can be seen in primary or secondary glomerular diseases, which can be concealed and difficult to find, and the course of disease is prolonged and easy to recur. According to the characteristics of renal hematuria, it is classified as "urine blood" in traditional Chinese medicine. As early as the Yellow Emperor's Internal Classic, there is a record of this disease, which is called "Deutzia blood" and "blood drowning" in Su-Quan. According to more than 30 years of clinical experience and his own understanding, his mentor he Xuehong used the system of syndrome differentiation and treatment of TCM. For patients with different syndromes of renal hematuria, according to the law, the prescription is selected according to the law, and it is added or subtracted with the syndrome, and it is often effective. She thinks that although the occurrence of renal hematuria is located in the kidney and bladder, it is closely related to the heart, liver, spleen and lung, because the blood is biochemical in the spleen and hidden in the liver. In the heart, in the lung, in the lung, in the kidney, in the kidney, and in the blood channel, any visceral evil can cause the blood to overflow outside the vein, and the hematuria occurs. The pathological nature of the disease belongs to the original deficiency standard solid, or the deficiency of the deficiency. The deficiency is mostly the deficiency of spleen and kidney, or the deficiency of kidney yin, and the pathological nature of the disease is the deficiency of both spleen and kidney, or the deficiency of kidney and yin. Most of them are caused by wind heat or damp-heat evil outside, and those with deficiency and solid have repeated attacks due to the prolongation of the illness, and the deficiency and stasis are caused by the deficiency. Therefore, the teacher's syndrome differentiation and classification of the disease is based on the different degrees of the sense of evil and the deficiency of the viscera, and the difference of the deficiency of the viscera and the internal organs. It is divided into three aspects: wind and heat attack lung, heart heat, spleen deficiency dampness, liver-fire inflammation, bladder damp-heat, deficiency of Yin fire, spleen not regulating blood, spleen and kidney qi and yin deficiency; the former is divided into three aspects: wind and heat attack on lung, spleen deficiency dampness Sheng, liver fire inflammation, bladder dampness and heat, and deficiency of Yin and deficiency of spleen and kidney qi and yin, and deficiency of spleen and kidney qi and yin. The internal obstruction of blood stasis is the inclusion of deficiency and solid. It is advisable to dispel pathogenic factors and cool blood to stop bleeding in the treatment of upper evil and excess. In the case of positive deficiency, it is appropriate to strengthen the positive, and to cool the blood and remove blood stasis to stop the bleeding. In the case of deficiency and solid, it is appropriate to remove the blood stasis as the main factor, and to strengthen the health. The test prescription of cooling blood and hemostasis-Jiangxue Dan, is quite effective for blood and urine patients with deficiency of spleen and kidney qi and yin. In addition to drug treatment, the tutor also emphasizes the importance of prevention and nursing after illness, which reflects the characteristics of Chinese medicine "preventing disease before illness, preventing disease from changing".
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R249;R277.5

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