糖尿病肾病中医病因病机的研究概述  

A summary of the research on the etiology and pathogenesis of diabetic nephropathy in traditional Chinese medicine

作　　者：闫淼 陈锐[1] YAN Miao;CHEN Rui(College of Basic Medicine,Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学基础医学院,长春130117

出　　处：《吉林中医药》2021年第6期837-840,共4页Jilin Journal of Chinese Medicine

基　　金：长春中医药大学科学研究发展培育基金项目(0152019PY015);教育厅(JJKH20200883KJ)。

摘　　要：糖尿病肾病是糖尿病主要的微血管并发症之一,其病机复杂,本虚标实,以虚损为主。通过查阅古今文献,探索古今医家对糖尿病肾病学术思想认识的差异。经研究发现,由于古今社会背景大环境的变化,当代糖尿病肾病病因与饮食因素最为密切,以虚、瘀、浊为主要病机,并与痰浊、热邪、瘀血、毒邪、风邪等病理产物互结,逐渐损耗人体正气,从而导致邪盛正衰,最终形成气血阴阳俱虚以肾阳亏虚为主的结果。Diabetic Nephropathy is one of the main microvascular complications of diabetes mellitus. With its complicated etiology and pathogenesis, diabetic nephropathy is characterized by deficiency in essence and excess in manifestations, especially with deficiency as its most prominent characteristic. Through consulting the ancient and modern literature, this paper explores the differences between ancient and modern physicians’ understanding of diabetic nephropathy. According to the research, due to the changes in the social background of the ancient and modern society, the etiology of contemporary diabetic nephropathy is most closely related to dietary factors, with deficiency, blood stasis and turbidity as the main pathogenesis, and intermingled with phlegm turbidity, heat evil,blood stasis, toxin evil, wind evil and other pathological products. These pathogenic factors gradually deplete the body’s vital qi, leading to the rise of evils and the fall of vital qi, and eventually resulting in the deficiency of qi, blood,yin and yang, with the deficiency of kidney yang as the primary syndrome.

关 键 词：糖尿病肾病 消渴肾病 中医病因病机 研究综述 

分 类 号：R285[医药卫生—中药学]