关建国基于“肺脾肾同治”理论辨治小儿肾病综合征

Guan Jianguo Treats Pediatric Nephrotic Syndrome Based on the Theory of “Treat Lung, Spleen, and Kidney Together”

摘要: 关建国教授认为小儿肾病综合征(PNS)的病机关键在于肺、脾、肾三脏功能失调，属本虚标实之证。临证主张以“肺脾肾同治”为根本原则，并基于小儿“肺常不足、脾常不足、肾常虚”的生理特点，创立了“肺常不足，用药宜轻；脾常不足，用药宜缓；肾常不足，用药宜慎”的核心用药心法。本文总结了其理论认识、具体用药及随证加减经验，并以期对PNS的中医临床实践提供指导价值。

Abstract: Professor Guan Jianguo believes that the key to the pathogenesis of pediatric nephrotic syndrome (PNS) lies in the dysfunction of the lung, spleen and kidney, which is a symptom of deficiency and reality. Clinical evidence advocates the fundamental principle of “Treat Lung, Spleen, and Kidney Together”, and based on the physiological characteristics of children “lung insufficiency, spleen insufficiency, kidney deficiency”, the core medication principle of “lung is often insufficient, medication should be light; the spleen is often insufficient, and the medication should be delayed; the kidneys are often insufficient, and the medication should be cautious”, is established. This paper summarizes its theoretical understanding, specific medication and experience in adding and subtracting according to symptoms, in order to provide guiding value for the clinical practice of traditional Chinese medicine for PNS.