基于“脾肾相关”理论探讨消渴肾病的临证思路  

Based on the theory of“spleen-kidney correlation”to explore the therapeutic thought of diabetic nephropathy

作　　者：王孙萍 孙金旭 郭翔宇[2] 高明 WANG Sunping;SUN Jinxu;GUO Xiangyu;GAO Ming(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院内分泌科,北京100078 [3]日本武库川女子大学药学部,日本兵库6638179

出　　处：《陕西中医》2023年第9期1255-1258,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助面上项目(82174351)。

摘　　要：“脾肾相关”理论是以阐述脾肾生理功能、病理变化及其相关证治方药为主要内容的理论学说,是传统中医理论体系的重要组成部分。消渴肾病是消渴病后期常见并发症,其基本病机特点为脾肾亏虚为本,湿痰瘀毒为标,故治疗上以补益脾肾为治疗总则,并根据脾肾亏虚程度及标实不同进行辨证论治。现基于“脾肾相关”理论剖析消渴肾病病因病机,探讨从脾肾论治消渴肾病的临证思路。The theory of“spleen-kidney correlation”is mainly about the physiological function,pathological changes of the spleen and kidney and the related syndrome and prescription,which is an important part of the theoretical system of traditional Chinese medicine.Diabetic nephropathy is a common complication in the later stage of diabetes,and its pathogenesis is based on deficiency of spleen and kidney and marked by dampness of phlegm and stasis of poison.Therefore,tonifying spleen and kidney is the general treatment principle,and syndrome differentiation is carried out according to the degree of deficiency and deficiency of spleen and kidney and the different standard substance.Based on the theory of“spleen-kidney correlation”,this paper analyzes the etiology and pathogenesis of diabetic nephropathy,and discusses the therapeutic thought of diabetic nephropathy from spleen and kidney.

关 键 词：消渴肾病 脾肾相关 脾肾亏虚 湿痰瘀毒 生理功能 病理变化 

分 类 号：R587.2[医药卫生—内分泌]