黄芪、水蛭粉、大黄治疗糖尿病肾病经验——仝小林三味小方撷萃  

Hedysarum Multijugum Maxim, Hirudo and Rheum Officinale in the Treatment of Diabetic Nephropathy——Three Prescription by Professor TONG Xiaolin

作　　者：王新苗 杨浩宇 顾成娟 刘文科[1] WANG Xinmiao;YANG Haoyu;GU Chengjuan;LIU Wenke(Guang’anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029 [3]广州中医药大学深圳医院<福田>仝小林名中医工作室,广东深圳518000

出　　处：《吉林中医药》2020年第1期5-7,共3页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金重点项目(81430097)

摘　　要：仝小林教授认为糖尿病肾病的核心病机为虚、瘀、浊,益气活血降浊是其主要治则。临床上,常用黄芪、水蛭粉、大黄合成的三味小方进行治疗。方中黄芪益气扶正,固涩精微,水蛭破血通络,大黄祛瘀泄浊,三药合用,益气活血降浊,可改善糖尿病肾病气虚血瘀之病机。其中黄芪常用剂量为30~90 g,水蛭粉常用剂量3~6 g,大黄常用剂量为3~15 g。Professor TONG Xiaolin proposed that the core pathogenesis of diabetic nephropathy(DN)is deficiency,stasis and turbidity.benefiting qi for activating blood circulation and reduces turbidity is the main treatment principle.In clinical practice,he commonly uses three prescription,Hedysarum Multijugum Maxim,Hirudo and Rheum officinale to treat DN.Among them,Hedysarum Multijugum Maxim has the eff ect of restoring deficiency,strengthening healthy energy,and gusejingwei;Hirudo can remove blood stasis and clear collaterals;Rheum officinale removes blood stasis and reduces turbidity.The three drugs combined can invigorate qi,activate blood circulation and reduce turbidity,which can improve the pathogenesis of qi deficiency and blood stasis in diabetic nephropathy.In addition,the common dose range of Hedysarum Multijugum Maxim is 30-90 g,Hirudo is 3-6 g,and Rheum officinale is 3-15 g.

关 键 词：糖尿病肾病 黄芪 水蛭粉 大黄 益气活血降浊 仝小林 

分 类 号：R259[医药卫生—中西医结合]