从“风毒-咽喉-肾络”试论消渴肾病的病机  

Discussion on the pathogenesis of diabetes nephropathy from the perspective of wind toxin-throat-kidney collaterals

作　　者：王艺凝 何泽[2] WANG Yining

机构地区：[1]长春中医药大学,吉林长春130017 [2]长春中医药大学附属医院,吉林长春130021

出　　处：《中医临床研究》2024年第23期132-135,共4页Clinical Journal Of Chinese Medicine

摘　　要：消渴肾病即糖尿病肾病,属于糖尿病常见的慢性微血管并发症,也是引起终末期肾病的重要原因。有报道显示,近年来糖尿病合并糖尿病肾病的患者在逐渐增多。西医治疗此病短期有效,但长期治疗存在一定风险,且部分患者疗效欠佳,而中医药在治疗糖尿病肾病中显现出一定优势。中医治疗不仅可以改善患者症状,还能在疾病早期逆转蛋白尿的排泄,保护肾脏,延缓疾病进展。何泽主任临床经验丰富,他认为风毒、咽喉、肾络与消渴肾病发病密切相关。文章着重阐述三者的生理功能,并基于“毒损肾络”及“喉肾相关”理论研讨风毒与肾络、咽喉与肾络之间的生理病理联系,探讨消渴肾病的发病机制,认为风毒为消渴肾病发病之启动因子,咽喉为消渴肾病发病之枢纽。在遣方用药方面,基于“毒损肾络”结论,采用解毒、通络之法;基于“喉肾相关”理论,采用“下病上治”的原则及注重风药的作用,以祛风、利咽为法。如此四法合一,使盘踞于肾络的痰、浊、瘀毒邪得以解除。文章结合案例介绍从风毒-咽喉-肾络治疗消渴肾病,以期为临床提供参考。Diabetes nephropathy, which is called Xiaoke nephropathy(消渴肾病) in traditional Chinese medicine, is a common chronic microvascular complication of diabetes and an important cause of end-stage renal disease. It is reported that the number of patients with diabetes plus diabetes nephropathy has gradually increased in recent years. There are many Western medicine treatments, and the short-term curative effect is remarkable, but there are also certain risks in the long-term use of Western medicine treatment, and the curative effect of some patients is not good. Traditional Chinese medicine shows its advantages in the treatment of diabetes nephropathy, which can not only relieve the discomfort of patients, but also reverse the excretion of proteinuria in the early stage of the disease. HE Ze, a chief physician, has rich clinical experience. He believes that there is a correlation between toxin, throat, kidney collaterals and diabetes nephropathy. This article focuses on the physiological functions of the above three, discusses the physiological and pathological links between wind toxin and kidney collaterals, throat and kidney collaterals, and discusses the pathogenesis of diabetes nephropathy based on the theory of “toxic damage to kidney collaterals” and “correlation between throat and kidney”, and believes that wind toxin is the initiating factor of diabetes nephropathy, and the throat is the hub of diabetes nephropathy. In terms of prescription and medication, based on the theory of “toxic damage to kidney collaterals”, the method of detoxification and dredging collaterals can be adopted. Based on the theory of “correlation between throat and kidney”, the method of dispelling wind and benefiting the throat can be adopted. The combination of the four methods can relieve the diseases caused by phlegm, turbidity and stasis in the kidney collaterals. This paper introduces the treatment of diabetes nephropathy from wind toxin-throat-kidney collaterals combined with one case, in order to provide r

关 键 词：消渴 肾病 糖尿病肾病 肾络 喉肾相关 

分 类 号：R256.5[医药卫生—中医内科学]