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我院儿科1993年2月～1995年3月采用益肾清利汤治疗小儿慢性肾小球肾炎56例,取得满意疗效.现报告如下.1 一般资料1.1 病例选择 所有病例均为我院住院和门诊资料齐全的患儿.其中男32例,女24例.<3岁5例,3～7岁17例,8～14岁34例.病程长者3年,最短者1年.1.2 诊断标准 根据全国第二届肾病学术会议制定的慢性肾炎诊断标准.2 治疗方法2.1 方药组成 黄芪15g,白茅根12g,女贞子10g,菟丝子10g,白花蛇舌草15g,益母草15g,墨旱莲草10g,山茱萸8g,益智仁15g,半边莲10g,黄柏6g,杜仲10g,牡蛎15g,茯苓12g.2.2 加减法 气虚重者加太子参;瘀血者加丹参、赤芍药;下焦湿热者加滑石、知母;纳差、腹胀者加砂仁;血压偏高者加夏枯草、地龙;水肿明显者加防己、赤小豆;尿蛋白甚者加金樱子、芡实.2.3 煎服法 先将药物用冷水浸泡15～20分钟,浸透后煎煮.取2次煎好药液混合,总量约200～300ml,分3～4次口服.2 治疗结果疗效标准参照中医药管理局制定的慢性肾炎疗效标准分为完全缓解、基本缓解、好转、无效4种.其中完全缓解24例,基本缓解20例,好转8例,无效4例.总有效率94.6%、其中服药最短者为30日,最长者4个月.
Pediatric hospital from February 1993 to March 1995 with Yishen Qingli Decoction in children with chronic glomerulonephritis 56 cases, and achieved satisfactory results are as follows.1 General Information 1.1 Case Selection All cases were hospitalized in our hospital and Outpatient information is complete in children, including 32 males and 24 females. <3 years in 5 cases, 3 to 7 years old in 17 cases, 34 cases aged 8 to 14. Elderly with a course of 3 years, the shortest of 1 years .1.2 Diagnostic criteria According to the Second National Conference on Nephrology diagnostic criteria for chronic nephritis .2 treatment 2.1 prescriptions Astragalus 15g, Rhizoma Imperatae 12g, Ligustrum lucidum 10g, Dodder 10g, Hedyotis diffusa 15g, Motherwort 15g, Eclipta 10g , Dogwood 8g, puzzle kernel 15g, lobelia 10g, Treats 6g, Eucommia 10g, oyster 15g, Poria 12g.2.2 plus or minus plus qi and blood pruritus; blood stasis plus plus Salvia, red peony drugs; , Anemarrhena; anorexia, abdominal distension plus Amomum; high blood pressure plus Prunella, earthworm; edema were added to prevent oneself, red bean; urinary protein and even Rosa laevigata, Soak in cold water for 15 to 20 minutes, after soaking decoction, take 2 times decoction mixture, the total amount of about 200 ~ 300ml, 3 to 4 times orally .2 treatment Results The curative effect criteria were divided into four categories according to the curative effect of chronic nephritis formulated by the Chinese Medicine Administration: complete remission, basic remission, improvement and ineffectiveness, of which 24 were completely remission, 20 were remission, 8 were improved, 4 were ineffective. 94.6%, of which the shortest medication for 30 days, the longest 4 months.