[摘要] 痛风性肾病是指嘌呤代谢紊乱导致高尿酸血症，尿酸盐沉积于肾脏引起肾损伤的一种疾病。柳红芳教授经过多年临床实践，认为热、浊、瘀为痛风性肾病发病的病理基础，脾肾阳虚为发病之本，强调标本兼治、补虚泻实，扶正以温补脾肾为主，攻邪以清热通络化浊为要。并遵从张景岳阴阳精气命门理论，善用大剂量熟地填补肾精，对治疗痛风性肾病导致的蛋白尿、血尿、血肌酐升高等效果显著。另附病案予以佐证。

    [关键词] 痛风性肾病;临床经验;柳红芳;熟地

    [中图分类号] R256.5 [文献标识码] A [文章编号] 1673-7210(2020)08(b)-0134-04

    [Abstract] Gouty nephropathy is a disorder of purine metabolism which leads to hyperuricemia， and urate deposits in the kidneys cause kidney damage. After many years of clinical practice ......