糖尿病肾病与肝-脾-肾  

Diabetic Nephropathy Related to Liver,Spleen,Kindey

作　　者：杨娅男 傅纪婷[2] 杨芳[3] 

机构地区：[1]营口经济技术开发区中心医院皮肤科,辽宁营口115007 [2]沈阳医学院附属中心医院中医科,沈阳110021 [3]辽宁中医药大学附属第二医院脾胃病科,沈阳110034

出　　处：《实用中医内科杂志》2017年第11期69-71,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：糖尿病基本病机为本虚标实,阴虚为本,燥热为标,病因涉及禀赋不足、劳逸过度、情志不畅、饮食不节等,特征表现为多饮、多食、多尿、消瘦,病变涉及肝、脾、肾三脏。从肝:精神刺激,郁怒伤肝,肝郁化火,火盛伤阴而致渴;从脾:饮食不节,过食肥甘,运化失职,脾胃内伤,津液失布而致渴;从肾:先天不足,劳欲伤肾,阴阳俱虚而致渴,健脾、补肾、调肝同治在糖尿病治疗中疗效甚佳。The basic pathogenesis of diabetes is deficiency in origin and excessiveness in superficiality, yin deficiency is the root, excessive dryness-heat is the presentation. Pathogenesis includes deficient natural endowment, excessive work or rest, depressive emotions, improper diet, etc. symptom characteristics are excessive drink, eat, urine, and lose weight. The disease involves liver, spleen, and kidney. From the point of liver： mental stimulation, depressive irritation impair liver, depression of the liver generates pathogenic fire, impaired yin lead to Xiaoke; from the point of spleen： improper diet, excessive fat, the function of transportation and transformation disabled, spleen internally injured, unsmooth distribution of body fluid lead to Xiaoke; from the point of kidney： inadequate natural endowment, excessive lust impair kidney, both Yin and Yang deficiency lead to Xiaoke. The therapy of strengthening spleen, tonifying kidney, regulating liver could make better curative effect.

关 键 词：糖尿病肾病 消渴 水肿 虚劳 本虚标实 肝 脾 肾 健脾 补肾 调肝 

分 类 号：R587.2[医药卫生—内分泌]