杨晓宇 沈佳丽 张颖煜 陈彦霖 易岚 周恩超 高坤

    〔摘要〕 膜性腎病是以蛋白尿为主要表现的一类肾小球疾病，是临床上难治性肾病之一，其病史缠绵，病程长久。邹燕勤教授认为此类疾病常表现为水瘀互结，应当以保肾气、维护肾元为先，在淡渗利水的同时提出“治水必和络”“经主气，络主血”，常“从血论治”膜性肾病，根据不同证型及病程长短分别采用活血和络、活血化瘀、逐瘀破血法。瘀血证轻或不明显者，药用当归、丹参、牡丹皮等养血和血;病程较长且存在血黏度和血脂高但无明显瘀血癥块者，常用川芎、泽兰、三七、桃仁、红花等活血散瘀;而对久病难愈、瘀血明显者，常选用虫类药如水蛭、虻虫、土鳖虫等破血逐瘀。同时配以理气补益之品，临床疗效显著。

    〔关键词〕 膜性肾病;肾络瘀损;从血论治;活血和络;活血化瘀;逐瘀破血;邹燕勤

    〔中图分类号〕R256.5? ? ? ?〔文献标志码〕B? ? ? ? 〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.02.002

    Traditonal Chinese medicine master Zou Yanqin’s treatment of membranous

    nephropathy from blood

    YANG Xiaoyu1， SHEN Jiali1， ZHANG Yingyu1， CHEN Yanlin1， YI Lan1，2， ZHOU Enchao1，2， GAO Kun1，2*

    (1. Department of Nephrology， The Affiliated Hospital of Nanjing University of Chinese Medicine， Nanjing， Jiangsu 210029， China; 2. Zou Yanqin Traditional Chinese Medicine Master Inheritance Studio， Nanjing， Jiangsu 210029， China)

    〔Abstract〕 Membranous nephropathy (MN) is a kind of glomerular disease with proteinuria as the main manifestation. It is one of the refractory nephropathy in clinic. Its history is lingering and its course is long. Professor Zou Yanqin believes that such diseases are often manifested as combination of water and blood stasis. We should first preserve the kidney Qi and maintain the kidney essence. Professor Zou proposed that "regulating water must harmonize the collaterals" and "meridians dominate Qi and collaterals dominate blood" while diluting seepage and enriching water. Therefore ......