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tenantId=1146029695717560320, journalId=1315121837170065538, language=CN, title=国医大师邹燕勤治疗AAV肾损害经验, columnId=null, journalTitle=中医学报, columnName=名医心法, runingTitle=null, highlight=null, articleAbstract=抗中性粒细胞胞浆抗体(antineutrophil cytoplasmic autoantibody,ANCA)相关性血管炎(ANCA-associated vasculitis,AAV)肾损害病机属本虚标实，以肾气不足为本，风湿、瘀热、浊毒为标，并强调“瘀热”为核心病机，病理基础在于血气郁滞、运行不畅，故血瘀贯穿始终。治疗上注重分期论治，按照“急则治标、缓则治本、分清主次、清补兼施”的原则，急性期以湿热瘀毒为主，在补肾健脾的基础上主要采用凉血化瘀、清热解毒、利湿泻浊等治法，方选犀角地黄汤、清瘟败毒饮之类，利水渗湿常用白茅根、芦根、车前子;清热解毒常用白花蛇舌草、蒲公英、黄芩;清利泻浊常用土茯苓、茵陈、黄蜀葵花、石韦、制大黄;热盛伤阴则加生地黄、麦冬、沙参、竹叶等。缓解期当以扶正益气养阴为主，益气之品常用黄芪、杜仲、桑寄生、太子参、黄精等，养阴最常用石斛、麦冬、南沙参、北沙参、桑椹等，并重视理气活血，兼顾清解余邪，以减少疾病复发。, authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, 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