石岩基于“脾运转输平衡”理论从脾论治糖尿病肾病  

Treatment of Diabetic Nephropathy from Spleen Based on Theory of“Balance of Transportation and Transmission of Spleen”

作　　者：周城 杨宇峰[1] 安继仁 孙贵炎 关明丹 于嘉祥 石岩[1] ZHOU Cheng;YANG Yufeng;AN Jiren;SUN Guiyan;GUAN Mingdan;YU Jiaxiang;SHI Yan(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医杂志》2024年第8期59-61,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(2013CB532004);辽宁省科技厅—辽宁省糖尿病中医病证结合重点实验室项目(2019JH6/10100009);辽宁省教育厅校际合作项目(2100221206)。

摘　　要：糖尿病是我国的常见的内分泌系统疾病,其并发症多导致肾脏微血管损害,引发糖尿病肾病。中医治疗糖尿病肾病多从“肾”着手。石岩教授经多年临床实践及研究,结合整理古代文献的理论基础上,认为脾虚是糖尿病肾病发生的基础,针对性地提出“脾运转输平衡”理论,认为“‘脾’转运水谷精微功能失调,水谷精微不归正化而为浊瘀”是糖尿病肾病发生发展的关键病机,该文分别从古今医家从脾论治糖尿病肾病的发病特点、理论基础、辨治用药等进行总结和分析,从而为中医药防治糖尿病肾病做出积极尝试。Diabetes is a common disease in China,and its complications often lead to renal microvascular damage,leading to diabetes nephropathy.Traditional Chinese medicine treats diabetes nephropathy mostly from“kidney”.Professor SHI Yan,after years of clinical practice and research,combined with the collation of ancient literature,believes that spleen deficiency is the basis for diabetes nephropathy,and puts forward the theory of“balance of transportation and transmission of spleen”,and believes that“the function of spleen in transporting the essence of water and grain is dysfunctional,and the essence of water and grain does not normalize into turbidity and blood stasis”is the key pathogenesis of the occurrence and development of diabetes nephropathy.The author discussed the pathogenesis,the theoretical basis,syndrome differentiation and treatment of diabetes nephropathy from ancient and modern physicians from spleen,so as to make a positive attempt for the prevention and treatment of diabetes nephropathy with traditional Chinese medicine.

关 键 词：脾运转输平衡 糖尿病肾病 从脾论治 

分 类 号：R255.4[医药卫生—中医内科学]