方朝晖益气养阴祛瘀通络法治疗糖尿病肾病经验  

Clinical Experience of FANG Zhaohui's in Treating Diabetic Nephropathy based on Yiqi Yangyin Quyu Tongluo Method

作　　者：经加吻 方朝晖[2,3] JING Jiawen;FANG Zhaohui(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China;Xin’an Medical Education Ministry Key Laboratory of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第一附属医院,安徽合肥230031 [3]新安医学教育部重点实验室,安徽中医药大学,安徽合肥230031

出　　处：《中医药临床杂志》2023年第7期1305-1309,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81774286,81603574,81家重点研发计划“中医药现代化研究”重点专项(2018YFC1704202));安徽省高校自然科学研究项目(KJ2018ZD029);安徽省高校协同创新项目(GXXT-2020-025);安徽省自然科学基金(1708085QH213);方朝晖安徽省名中医工作室(2019-8-515);新安医学教育部重点实验室(安徽中医药大学)。

摘　　要：总结方朝晖教授治疗糖尿病肾病的临床经验。依据其病因病机,方教授认为该病多为本虚标实,本虚以气阴两虚为主,标实以瘀血贯穿始终,故治疗当以益气养阴,祛瘀通络。依据患者的病情程度,方教授倡导分期论治,早期为气阴两虚夹瘀证;中期为肝肾阴虚夹瘀证;后期为阴阳两虚兼瘀证。结合自拟方:黄芪、太子参、生地、石斛、黄精、川牛膝、牡丹皮、水蛭、豨莶草和泽泻,随证加减,临床效果显著。To summarize the clinical experience of Professor FANG Zhaohui in the treatment of diabetic nephropathy.According to its etiology and pathogenesis,Professor Fang believes that the disease is mostly caused by deficiency in origin and excess in excess.According to the degree of the patient’s condition,Professor Fang advocated the treatment in stages,the early stage is Qi and Yin deficiency with blood stasis syndrome;the middle stage is liver and kidney Yin deficiency with blood stasis syndrome;the later stage is Yin and Yang deficiency and blood stasis syndrome.Combining self-made prescriptions:astragalus,heterophylla,habitat,dendrobium,sealwort,achyranthes bidentata,cortex moutan,leech,scorpion weed and Alisma,adding or subtracting according to the syndrome,the clinical effect is remarkable.

关 键 词：糖尿病肾病 益气养阴祛瘀通络法 名医经验 

分 类 号：R587.1[医药卫生—内分泌]