分期论治糖尿病肾病蛋白尿和肾脏损伤  

Treatment of Proteinuria and Kidney Injury of Diabetic Nephropathy by Stages

作　　者：周悦欣 田瑞娜 赵越[1] 朱琳[1] 安晓飞[1] ZHOU Yue-xin;TIAN Rui-na;ZHAO Yue;ZHU Lin;AN Xiao-fei(Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province Hospital of Chinese Medicine,Nanjing,Jiangsu,China,210029)

机构地区：[1]南京中医药大学附属医院,江苏省中医院,江苏南京210029

出　　处：《河南中医》2021年第3期388-391,共4页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81774248)。

摘　　要：糖尿病肾病的基本病机属本虚标实,脾肾亏虚为本,热湿瘀毒为标,临床中将糖尿病肾病分为糖尿病肾病早期、糖尿病肾病中期和糖尿病肾病晚期,针对不同分期的特点,分别采取清热益气养阴、利湿化瘀通络、补肾活血降浊等治疗大法,可改善糖尿病肾病蛋白尿和肾脏损伤。基于传统中医理论,发挥中医特色,不断优化糖尿病肾病的治疗方案,寻找更有效的中药配伍和方剂,值得进行深入研究。The basic pathogenesis of diabetic nephropathy is deficiency as primary and excess as secondary,with deficiency of spleen and kidney as primary and heat-dampness and blood stasis and toxin as secondary.Clinically,diabetic nephropathy is divided into early diabetic nephropathy,middle diabetic nephropathy and late diabetic nephropathy.According to the characteristics of different stages,the treatment methods of clearing heat and supplementing qi and nourishing yin,removing dampness and resolving blood stasis and dredging collaterals,tonifying kidney and activating blood and reducing turbidity respectively can improve the proteinuria and kidney damage of diabetic nephropathy.Therefore,based on the theory of TCM,it is necessary to give full play to the characteristics of TCM,constantly optimize the treatment of diabetic nephropathy,look for more effective compatibility and formulas of TCM,which is worth in-depth study.

关 键 词：糖尿病肾病 蛋白尿 肾脏损伤 脾肾亏虚 热湿瘀毒 清热益气养阴法 利湿化瘀通络法 补肾活血降浊法 

分 类 号：R277.592[医药卫生—中医学]