基于“络病理论”探讨藤类药在糖尿病肾病中的应用  

Discussion on the application of rattan drugs in diabetic nephropathy based on“collateral disease theory”

作　　者：温雅轩 柳红芳[1] 蒋威 董昭熙 WEN Yaxuan;LIU Hongfang;JIANG Wei;DONG Zhaoxi(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《中国医药导报》2023年第23期156-159,172,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81774273);国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015305)。

摘　　要：“络病理论”是中医学的重要组成部分。根据结构特征、生理功能、病理改变、病程方面的特点,糖尿病肾病属典型的络病范畴。藤类药形状纵横交错,蔓延缠绕,与机体络脉的结构特点、分布方式相似,其凭借善深入络脉,又可引诸药达病所之性,在络病的治疗中得以广泛应用。藤类药在糖尿病肾病中的临床应用主要分为清热解毒通络、祛风胜湿通络、平肝熄风通络、活血祛瘀通络、补虚养血荣络五个方面。临证使用藤类药治疗糖尿病肾病时应注意合理配伍、把握用量。“Collateral disease theory”is an important part of traditional Chinese medicine.According to the characteristics of structure,physiological function,pathological changes,and course of disease,diabetic nephropathy is a typical category of collateral disease.Rattan drugs are criss-cross in shape,and extend and intertwine in growth,and similar to the structure characteristics and distribution mode of body collateral.Rattan drugs are widely used in the treatment of collateral disease because they are good at penetrating into the collaterals and can be used to induce the diseases.The clinical application of rattan drugs in diabetic nephropathy is mainly divided into five aspects:clearing heat and detoxifying for removing obstruction in collaterals,dispelling wind and predominant dampness for removing obstruction in collaterals,calming the liver to stop the wind for removing obstruction in collaterals,activating blood circulation to dissipate blood stasis for removing obstruction in collaterals,tonifying deficiency and nourishing blood for nourishing collaterals.Clinical use of rattan drugs in the treatment of diabetic nephropathy should pay attention to reasonable compatibility,grasp the dosage.

关 键 词：络病理论 藤类药 糖尿病肾病 临床应用 

分 类 号：R587.2[医药卫生—内分泌]