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作 者:孟繁烨[1] MENG Fanye(Department of Geriatrics,Sichuan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Chengdu 610041,Sichuan,China)
机构地区:[1]四川省中西医结合医院老年病科,四川成都610041
出 处:《糖尿病新世界》2025年第5期195-198,共4页Diabetes New World
摘 要:糖尿病肾病作为糖尿病的一种常见的慢性并发症,其发病机理与临床表现与中医理论中的“形精不足”观念高度吻合,本文从“形精不足”的生理病理解析,提出糖尿病肾病是以脾肾虚弱为基本病机,而水湿、痰湿、血瘀等则是其病理产物。该病虚实夹杂,寒热并存,阴阳两虚,气血俱损,多种病理机制相互交织,使得糖尿病肾病成为一种治疗面临较大挑战的疾病。基于《黄帝内经》中“形不足者,温之以气;精不足者,补之以味”的理论指导,本文提出了从脾肾论治、补益阴阳的糖尿病肾病治疗原则,做到调气为上,温气扶阳,同时注重填精益髓,补精治形。Diabetic kidney disease is a common chronic complication of diabetes.Its pathogenesis and clinical manifestations are highly consistent with the concept of"deficiency of form and essence"in traditional Chinese medicine theory.This paper analyzes the physiological and pathological analysis of"deficiency of form and essence",and puts forward that diabetic kidney disease is based on spleen and kidney weakness.The basic pathogenesis is weak,and water dampness,phlegm dampness,blood stasis and so on are its pathological products.The disease is mixed with deficiency and excess,cold and heat coexist,yin and yang are both deficient,qi and blood are both damaged,and various pathological mechanisms are intertwined,making diabetic kidney disease a disease that faces greater challenges in treatment.The Yellow Emperors Classic of Medicine states"warm qi to nourish those with deficiency of form;replenish essence with flavor to nourish those with deficiency of essence",this article proposes treatment principles for diabetic kidney disease that focus on spleen and kidney therapy and replenishing yin and yang.It emphasizes regulating qi as the top priority,warming qi to support yang,and simultaneously paying attention to nourishing essence and marrow,as well as replenishing essence to treat the form.
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