益气养阴活血法治疗糖尿病肾病的理论基础  

Theoretical Basis of Replenishing Qi,Nourishing Yin and Activating Blood Therapy for Diabetic Nephropathy

作　　者：王宇阳[1,2] 路晓光 刘童童[1] 占永立 WANG Yuyang;LU Xiaoguang;LIU Tongtong;ZHAN Yongli(Guang'anmen Hospital of China Academy Chinese Medical Sciences,Beijing 100053,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]天津中医药大学,天津301617

出　　处：《辽宁中医杂志》2020年第3期101-103,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81804087)。

摘　　要：糖尿病肾病(DN)是糖尿病常见的微血管并发症,发病隐匿,缠绵难愈。根据其发病特点和临床表现可知:DN属内伤积损性疾患,因虚致实,本虚标实是其病机特征;气阴亏虚夹瘀是DN的核心病机,其中阴虚为始,气虚为本,瘀血贯穿始终,病位兼顾肺脾肾三脏。DN临床表现复杂,不同分期之间有显著差异,早中晚三期分别以气阴两虚证、气虚证、阳虚证为主,而瘀血证兼见于各期。现代研究进一步指出气阴两虚和瘀血分别是DN最常见的正虚证和邪实证。故益气养阴活血法是DN的重要治则,古今医家多以其为指导思想,辨证采用扶正、养阴清热和活血药物治疗DN患者,取得满意疗效。文章通过阐释益气养阴活血法的理论渊源,以期启发临床用药,为DN的早期防治提供依据。Diabetic nephropathy( DN) is one of the most common microvascularcomplications of diabetes mellitus,which has long duration and relapses frequently. Deficiency of Qi and Yin with blood stasis is the core pathogenesis of DN. Yin deficiency is the beginning and Qideficiency is the foundation. Blood stasis runs through all the time,and the location concerns lung,spleen and kidney. This article explained the theoretical origin of replenishing Qi,nourishing Yin and activating blood therapy so as to inspire clinical medication and provide the evidence for early prevention and treatment of DN.

关 键 词：糖尿病肾病 益气 养阴 活血 

分 类 号：R692[医药卫生—泌尿科学]