梁丽芸 安至超 徐榛敏

    [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， professor Liu Hongfang believes that the heat， turbid and stasis are the pathological basis of gout nephropathy， and the yang deficiency of spleen and kidney is the basic cause of this disease. She emphasizes that the treatment must obey treating both manifestation and root cause of disease， reinforcing deficiency and reducing excess. The method is to warm up spleen and kidney， and to clear the heat， the dredge collaterals， and the transform damp turbidity. According to Zhang Jingyue′s yin and yang essence theory， professor Liu is good at using large doses of prepared rehmannia root to nourish kidney essence. It is curative for the proteinuria ......