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急性肾炎是儿科常见病之一。近年来,我们通过97例患儿的临床实践,对本病的治疗规律进行了探讨,现报导如下。一、中医对急性肾炎病因病理的认识急性肾炎主要临床表现是水肿。前人认为是由于肺脾肾三脏功能失调所致。张景岳说:“凡水肿证,乃肺脾肾三脏相干之病,盖水为至阴,故其本在肾;水化于气,其标在肺;水惟畏土,故其制在脾。”张氏的这一阐述,概括了水肿产生的机理。根据临床所见,本病大都由于外感风寒或风热,闭阻于肺,肺失清肃,不能通调水道下注膀胱致水风相搏,或疮毒内侵,湿热壅盛而阻遏脾胃
Acute nephritis is one of the common pediatric diseases. In recent years, we have discussed the treatment of this disease through the clinical practice of 97 cases. The report is as follows. First, the Chinese medicine on the pathogenesis of acute nephritis The main clinical manifestations of acute nephritis is edema. Previously believed to be due to dysfunction of the lungs, spleen and kidneys. Zhang Jingyue said: “Where edema syndrome is the disease of the lungs, spleen and kidneys, the cover of water is yin to yin, so it is in the kidney; it hydrates in the air, it is marked in the lungs; the water only in fear of soil, so its system in the spleen ”This explanation of Zhang’s outlines the mechanism of edema production. According to clinical findings, most of the disease is due to exogenous cold or wind-heat, obstruction in the lungs, pulmonary depression, can not pass through the waterway bet bladder caused by the wind and wind to fight, or sore poison invade, damp heat Sheng to stop the spleen and stomach