邵朝弟运用补络补管汤治疗肾系疾病验案举隅

CJI (Traditional Chinese Medicine) - - 中国中医药信息杂志 -

巴元明1,王甜甜 2

1.湖北省中医院,湖北 武汉 430061;2.华中科技大学同济医学院附属梨园医院,湖北 武汉 430077摘要:补络补管汤出自张锡纯《医学衷中参西录》,具有收敛止血、祛瘀通络之功,主治咳血吐血久不愈之证。邵老在长期临床实践中运用此方加味治疗血尿、遗精、过敏性紫癜性肾炎等,收效颇好。关键词:名医经验;邵朝弟;补络补管汤;肾病;中医疗法

DOI:10.3969/j.issn.1005-5304.2017.11.025

中图分类号:R272.969.2 文献标识码:A

Cases of Application of Buluo Buguan SHAO Zhao-di

文章编号:1005-5304(2017)11-0104-03

Decoction in Treatment of Kidney Diseases by

BA Yuan-ming1, WANG Tian-tian2 (1. Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; 2. Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China)

Abstract: Buluo Buguan Decoction originates from ZHANG Xi-chun’s book Yi Xue Zhong Zhong Can Xi Lu, with the functions of astringent, removing blood stasis, and vein relaxing. The original major functions of this decoction are to treat chronic hemoptysis and hematemesis. In long-term clinical practice, Professor SHAO found that the modified decoction showed significant positive outcome in the treatment of hematuria, nocturnal emission, spontaneous sweating, night sweats, and allergic purpura nephritis, with good efficacy.

Key words: experience of famous doctors; SHAO Zhao-di; Buluo Buguan Decoction; kidney diseases; TCM therapy

补络补管汤出自张锡纯《医学衷中参西录》,由龙骨、牡蛎、山萸肉、三七组成。方中龙骨、牡蛎收敛固涩、止血散结,山萸肉补益肝肾、收敛固涩,三七活血化瘀、通络止血。全方止血而不留瘀,活血而不妄行,共奏收敛止血、祛瘀通络之功,主要用于治疗咳血吐血久不愈者。湖北省中医院肾内科邵朝弟教授勤耕杏林 50 余载,学验俱丰,善古方新用,在长期临床实践中运用此方加味治疗诸多肾系疾病而获良效。兹录其验案3则,以飨同道。

1 肾虚湿热之血尿案

案例 1:患者,女,32 岁,2015 年 6 月 3日初诊。

1 年前,患者因剧烈运动后出现腰骶部不适伴肉眼血

尿,于当地医院查尿示“隐血+++,蛋白+,红细胞

82.8 个/μL”,予对症治疗后好转。2 个月前因感冒再次出现鲜红色肉眼血尿,至某院住院治疗,诊断为“慢性肾炎”,予以护肾、改善循环等对症治疗后稍有缓解,出院后一直于该院门诊口服中药治疗,效果欠佳,

尿隐血为++~+++。刻诊:腰酸,小便色深,偶有尿

基金项目:国家科技支撑计划(2007BAI10B01-058)

通讯作者:王甜甜,E-mail:wangtiantian996@163.com

Newspapers in Chinese (Simplified)

Newspapers from China

© PressReader. All rights reserved.