基于“肾络微型癥瘕”学说探讨藤类药在糖尿病肾病中的运用  

Applications of rattan drugs in the treatment of diabetic nephropathy based on the theory of"miniature masses in the renal collaterals"

作　　者：龙利 金劲松 LONG Li;JIN Jingsong(Hubei University of Chinese Medicine,Wuhan 430063,China;The Third People's Hospital of Hubei Province,Wuhan 430033,China)

机构地区：[1]湖北中医药大学,武汉430062 [2]湖北省第三人民医院,武汉430033

出　　处：《吉林中医药》2024年第9期1006-1009,共4页Jilin Journal of Chinese Medicine

基　　金：湖北省卫生健康委员会中医药科研项目(ZY2021M054)。

摘　　要：糖尿病肾病是糖尿病并发症中的疑难顽症,其发生、发展是消渴病日久耗气伤阴,痰湿、内热、气滞、瘀血互相胶结,积聚于肾之络脉,逐渐形成癥瘕的过程。因其“肾络微型癥瘕”的核心病机,治法当以“化瘀消癥”为要。藤类药具有舒展、蔓延特性,可入肾络,善搜风剔邪、补虚荣络、活血化瘀,临证配伍应用可拓展糖尿病肾病中医治疗思路。Diabetic nephropathy is one of the intractable complications of diabetes,whose occurrence and development is the process of chronic qi depletion and yin injury,phlegm dampness,internal heat,qi stagnation and blood stasis cementing with each other,accumulating in the kidney collaterals and vessels,and gradually forming masses.Due to its core pathogenesis of"miniature masses in the renal collaterals","resolving blood stasis and eliminating masses"should be given a priority for its treatment.Rattan drugs have the characteristics of stretching and spreading,which can enter the kidney collaterals,be good at expelling wind pathogen,invigorating and nourishing deficient collaterals,promoting blood circulation for removing blood stasis.They are clinically applied in combination with other herbs,which can expand the ideas in the treatment of diabetic nephropathy of traditional Chinese medicine.

关 键 词：糖尿病肾病 肾络微型癥瘕 藤类药 

分 类 号：R259[医药卫生—中西医结合]