甘安平 吴满满 张文 何灵芝

    [摘要] 膜性肾病(MN)是一类发病类型复杂、病因病机尚未完全明确的一种疾病，分为特发性(IMN)和继发性(SMN)，随病情发展可至终末期肾衰竭，其中病因尚未明确的称为IMN。近年来临床研究表明，中医药在用于治疗该疾病时对症状缓解、防治并发症及延缓特发性膜性肾病的发展进程等方面有明显疗效。参考各家文献，大多数医家认为特发性膜性肾病的基本病机是本虚标实，风、湿、热、瘀是在影响疾病发生发展的四大重要病机。在临床指导治疗IMN中从不同临床表现来探讨中医病因病机的研究具有重要意义。

    [关键词] 特发性膜性肾病;中医;临床表现;病因病机

    [中图分类号] R277.5? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)09-0139-04

    Discussion on the traditional Chinese medicine etiology and pathogenesis of idiopathic membranous nephropathy

    GAN Anping1? ?WU Manman1? ?ZHANG Wen1? ?HE Lingzhi2

    1.The First Clinical Medical College of Zhejiang Chinese Medicine University， Hangzhou? 310053， China; 2.The First Affiliated Hospital of Zhejiang Chinese Medicine University， Hangzhou? ?310006， China

    [Abstract] Membranous nephropathy(MN) is a type of disease with complex pathogenesis and unclear etiology and pathogenesis. It is divided into idiopathic membranous nephropathy(IMN) and secondary membranous nephropathy(SMN). With the development of the disease， it can reach end-stage renal failure. The membranous nephropathy with unclear etiology is called IMN. In recent years ......