〔摘要〕 膜性肾病是成人肾病综合征常见的病理类型之一，其中病因未明者称为特发性膜性肾病，中医学将其归属于“水肿病”范畴。“阳虚阴结”理论源于《素问·阴阳应象大论篇》中“阳化气，阴成形”。阳化气不足，阴成形太过，造成痰饮、水湿、瘀血等有形之物聚积，从而产生“阳虚阴结”的病理状态，发为特发性膜性肾病。张琳教授基于此提出，用温阳法论治特发性膜性肾病思路的方法和实践经验，强调温肾阳以化气利水湿。张琳教授临证时将温阳法视为特发性膜性肾病的治疗总纲，即“益火之源，以消阴翳”，注重调补脾肾、温阳散寒通络；同时针对有形实邪，予以温阳化湿、温阳化瘀，并附验案一则以供临床参考。

    〔关键词〕 特发性膜性肾病；水肿；阳虚阴结；脾肾亏虚；温阳化气

    〔中图分类号〕R256.5 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.09.017

    Treatment of idiopathic membranous nephropathy by warming yang according to the theory of "yang deficiency and yin stagnation"

    LI Wenye1，2， ZHANG Lin1，2*

    1. The First Hospital of Tianjin University of Chinese Medicine， Tianjin 300381， China;

    2. Clinical Research Center of National Acupuncture and Moxibustion， Tianjin 300381， China

    〔Abstract〕 Membranous nephropathy is one of the common pathological types of adult nephrotic syndrome， and those with unknown causes are called idiopathic membranous nephropathy (IMN). In Chinese medicine， it is classified under the category of "edema". The theory of "yang deficiency and yin stagnation" originates from "Yang is transformed into qi ......