通讯作者: 刘永芳, 18379973169@163.com

DOI：10.12201/bmr.202509.00019

Chen Bangmings experience in treating membranous nephropathy based on the theory of “Retention due to Deficiency Qi”

• 摘要：膜性肾病是一种慢性肾小球疾病,病程长,复发率高,且预后较差。其中医病机特点是以脾肾亏虚为本,水湿、瘀血、浊毒留滞为标,与“虚气留滞”理论内涵高度契合,故提出“虚气留滞”是膜性肾病发生发展的核心病机。治疗上主张“补虚通滞”,针对不同阶段和证候特点,治疗重点分别在于健脾益肾、益气养阴；清热利湿、化浊解毒以及活血化瘀通络。文章基于“虚气留滞”理论,系统阐述陈师诊治膜性肾病的病机认识及特色治法,以期为膜性肾病的临床治疗提供参考。

  关键词： 膜性肾病; 虚气留滞; 陈帮明; 名医经验

   

  Abstract: Membranous nephropathy is a chronic glomerular disease with long course, high recurrence rate and poor prognosis. Its pathogenesis is characterized by deficiency of the spleen and kidney as the root cause and stagnation of water-dampness, blood stasis and turbid toxin as the target cause, which is highly compatible with the theoretical connotation of “Retention due to Deficiency Qi”, and therefore it is proposed that “Retention due to Deficiency Qi” is the core pathogenesis for the occurrence and development of membranous nephropathy. Therefore, it is suggested that “Retention due to Deficiency Qi”is the core pathogenesis of membranous nephropathy. The treatment of membranous nephropathy advocates “tonifying deficiency and clearing stagnation of qi”, which focuses on strengthening the spleen and the kidneys, benefiting qi and nourishing yin, clearing away heat and inducing dampness, resolving turbid and detoxifying toxins, as well as invigorating blood circulation to clear the blood vessels. Based on the theory of “Retention due to Deficiency Qi”, this article systematically describes Master Chens understanding of the pathomechanism of membranous nephropathy and his characteristic treatments, with a view to provide reference for the clinical treatment of membranous nephropathy.

  Key words: Membranous Nephropathy; Retention Due to Deficiency Qi; Chen Bangming; Famous Doctor’s Experience

  提交时间：2025-09-05

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• 序号	提交日期	编号	操作
  1	2025-08-04	bmr.202509.00019V1	下载

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