杜雨茂教授以经方为主治疗肾病综合征的临床经验及学术思想研究能汇总.pdf

摘 要 目的：全面总结杜雨茂教授以经方治疗肾病综合征的临床经验，并进一步分 析其对肾病综合征的辨治特点、用药特色、以及中西医结合思路。 方法：（1）从咸阳雨茂医院调取相关的原始病案，认真研读，深刻分析，记 录心得；（2）随师查房、门诊，当面求教于杜雨茂教授，为研究课题充实更真实 的资料；（3）通过图书馆及网络系统，收集、研读杜老及其门人有关中医治疗肾 病综合征的论著论文，综合归纳凝炼其学术思想。 结果：杜雨茂教授认为肾病综合征的病因为内外二因；正虚邪恋，虚实错杂 为其病机特点，病位主要在肾、脾、肺，但可累及三焦、胃、心、肝等脏腑；在 正虚方面，有气虚、血虚、阴虚、阳虚之别，在邪实方面，有寒、热、风、湿、 气滞、血瘀之异。杜雨茂教授受仲景思想启发，运用六经辨证方法辨治肾病综合 征，创“背反偕同”用药原则，侧重固护脾胃；倡导中西医结合，主张运用西医 生化及器械检查，为中医辨证论治服务。 结论：杜雨茂教授首创肾脏疾患六经辨治体系，并根据肾病综合征的病理特 点概括出肾病综合征六经辨治证型方药，灵活运用经方化裁,创制“肾病甲方” “肾病乙方”等，临床效果满意。他创立“背反偕同”的用药原则，提出扶正、 达邪、调中、复原的四步治法及“固护脾胃治肾病”的观点，均值得后学者去探 讨、发掘与继承。 关键词：杜雨茂 ；肾病综合征；临床经验；学术思想 Studying professor Du`s clinical experience and academic thoughts about using classical prescription mainly to treat nephritic syndrome Abstract PurposeIt is an important study topic to explore professor Du`s clinical experience and academinc thoughts. This thesis is aimed at professor Du`s climical experience of treating nephritic syndrome using classical prescription based on his original medical records and clinical practice.On this basis,to explore professor Du`s academic thoughts. Methods:(1)study,analyze and abstract the original medical records from YumaoHospital of Xian yang.(2)in order to achiece more real data for this thesis,I go the rounds of the words and go to the clinic following professor Du,and seek advice from him.(3)I collect and read very carefully professor Du and his followers` books and papers which focus on nephritic syndrome of Chinese medicine by accessing library and internet.Then make a conclusion on professor Du`s academic thoughts. Results:There are two kinds of pathogen ,for nephritic syndrome according to professror Du:one comes form inside,the other comes from outside.The char