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1976年以来,我们采用中西医结合治疗30例难治性肾病综合征(经激素正规足量治疗8周无效或尿蛋白一度改善,以后1年内发作3次以上者,或激素依赖者),其远期疗效较满意。1.治疗方法:本组属肾病综合征Ⅰ型11例,其中肺脾气虚3例、脾肾阳虚6例、肝肾阴虚2例;属肾病综合征Ⅱ型19例,其中肺脾气虚8例、脾肾阳虚7例、肝肾阴虚4例。本组治疗如下:①中药治疗:肺脾气虚型,治以益气健脾补肾、化湿活血利水。脾肾阳虚型,治以温肾健脾,活血利水。
Since 1976, we have treated 30 cases of refractory nephrotic syndrome with traditional Chinese and western medicine (with normal full-dose steroid treatment for 8 weeks or once with urinary protein improvement for more than 3 episodes in 1 year or hormone-dependent patients) Long-term effect is more satisfactory. 1. Treatment: This group is nephrotic syndrome type 11 cases, of which 3 cases of lung spleen Qi, spleen and kidney yang deficiency in 6 cases, 2 cases of liver and kidney yin deficiency; is a nephrotic syndrome type Ⅱ 19 cases, including lung spleen deficiency 8 cases, spleen and kidney yang deficiency in 7 cases, liver and kidney yin deficiency in 4 cases. The treatment of this group are as follows: ① Chinese medicine treatment: lung spleen qi deficiency type, governance to spleen and kidney qi, dampness and blood circulation. Spleen and kidney yang type, rule Wenshen spleen, blood and water.