慢性肾炎是由多种原因导致的肾功能不全性疾病，临床发现，本病多伴有脂代谢紊乱，而脂代谢紊乱又会加重肾炎的发生。慢性肾炎合并脂代谢紊乱的病位在肾，与脾肺肝相关，基本病机为本虚标实，治疗上注重健脾益肾、活血祛湿，又可根据其病机特点，分别予以养肝、调肺之法。中医学注重整体观念和辨证论治，结合望闻问切四诊合参，采用个体化处方，临床疗效显著。将对近10年慢性肾炎合并脂代谢紊乱的病因病机、中药治疗以及作用机制进行总结，以期为中医药治疗本病提供优选思路，进而更好的服务于临床。

Chronic nephritis is a disease of renal insufficiency caused by a variety of reasons. Clinical findings show that this disease is often accompanied by lipid metabolism disorders, and lipid metabolism disorders will aggravate the occurrence of nephritis. The disease of chronic nephritis combined with lipid metabolism disorders is located in kidney, which is related to the spleen, lung and liver, the basic pathogenesis is essential empty and out solid, the treatment pays attention to strengthening spleen and tonifying kidney, promoting blood and removing dampness, and according to its pathogenesis characteristics, the method of nourishing the liver and regulating the lung can be given respectively. Traditional Chinese medicine pays attention to the whole concept and treatment of syndrome differentiation, combined with the observation, sniffing, questioning and cutting of the four diagnosis and use of individualized prescription, the clinical effect is remarkable. This article will summarize the etiology, pathogenesis, Chinese medicine treatment and action mechanism of chronic nephritis complicated with lipid metabolism disorder in the past 10 years, in order to provide optimal ideas for Chinese medicine treatment of this disease, and then better serve the clinic.

R286

国家自然科学基金资助项目(82004233);国家自然科学基金资助项目(81774169)