李忱主任从“伏邪成瘀”论治DKD理论经验  

Director Li Chen's Theoretical Experience in Treating DKD from the Perspective of“Fuxie Chengyu”

作　　者：王朋金 李忱 WANG Peng-jin;LI Chen(Department of Intergrated Traditional and Western Medicine,Hegang People's Hospital,Hegang,Heilongjiang,154100,China)

机构地区：[1]鹤岗市人民医院中西医结合科,黑龙江鹤岗154100

出　　处：《黑龙江医学》2022年第6期659-661,共3页Heilongjiang Medical Journal

基　　金：黑龙江中医药科研项目(No.ZHY16-083)。

摘　　要：李忱主任医师是第三批全国中医优秀人才,省级名中医,中医肾脏专家,根据中医经典著作的论述,深入研读“伏邪”理论的精髓,结合30余年的临床诊疗经验,总结出糖尿病肾脏病变(DKD)是伏邪成瘀所致,DKD与中医的虚劳相对应。其机理为伏邪耗伤精气,郁遏气机,导致正虚和气血经络不通,形成“瘀”后诱发本病导致疾病逐渐进展。DKD的治疗宜用引邪化瘀法,引邪化瘀法包括祛邪化瘀法和扶正化瘀法,这两种方法可以单独或同时使用提高疗效。Chief Physician Li Chen is the third batch of national TCM outstanding talents,provincial-level TCM doctors,and TCM kidney experts.Based on the classics of traditional Chinese medicine,he thoroughly studied the essence of'“Fuxie”theory,combined with more than 30 years of clinical diagnosis and treatment experience,and concluded that diabetic nephropathy(DKD)is caused by the formation of blood stasis from Fuxie,and DKD corresponds to the fatigue of traditional Chinese medicine.The mechanism is that Fuxie consumes the essence and Qi,depresses the Qi and inhibits the Qi,leading to the deficiency of Qi-blood,and the formation of“stasis”induces the disease and causes the disease to progress gradually.The treatment of DKD should use the method of inducing evil and removing blood stasis.The method of Yinxie Huayu includes the method of Quxie Huayu and Fu-zheng Huayu.These two methods can be used alone or at the same time to improve the curative effect.

关 键 词：伏邪成瘀理论 糖尿病肾脏病变病 虚劳 引邪化瘀法 

分 类 号：R255.4[医药卫生—中医内科学]