基于“既病防变”思想探析糖尿病肾病的早期防治  

Early Prevention and Treatment of Diabetic Kidney Disease Based on the Thinking of"Preventing Disease from Exacerbating"

作　　者：赵晓朦 张世文 庞欣欣[2] 孙新宇[1] ZHAO Xiaomeng;ZHANG Shiwen;PANG Xinxin;SUN Xinyu(Second Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450046,China;Henan Province Hospital of TCM,Zhengzhou 450002,China)

机构地区：[1]河南中医药大学第二临床医学院,河南郑州450046 [2]河南省中医院,河南郑州450002

出　　处：《西部中医药》2025年第4期6-9,共4页Western Journal of Traditional Chinese Medicine

基　　金：河南省自然科学基金(202300410256);河南省重点研发与推广专项(科技攻关)项目(202102310505);国家中医临床研究基地科研项目(2019JDZX2119)。

摘　　要：基于“既病防变”思想,对糖尿病肾病(diabetic kidney disease,DKD)的病位、病机及症状演变规律进行探讨,指出DKD应“既病防变、先安未受邪之地”,提出“补虚泻实、防生兼证”“知常达变、分期论治”“整体观念,先安未受邪之地”“规避病因、和于术数”的防治原则,为DKD的中医临床防治提供理论指导。On the foundation of the thinking of"preventing disease from exacerbating",we discussed the location,pathogenesis and the evolutionary pattern of the nature of diabetic nephropathy and the symptoms,great importance should be attached to early prevention and treatment of diabetic kidney disease(DKD),and the principles of prevention and treatment,including"tonifying the deficiency and reducing the excess,preventing the compli-cations""grasping the evolutionary rules,phased therapies""pacifying other viscera based on the concept of holism"and"avoiding the causes of disease,following the rules of development",were raised to provide theoretical guidances for TCM clinical prevention and treatment of the disease.

关 键 词：糖尿病肾病 既病防变 辨证论治 早期防治 

分 类 号：R255.4[医药卫生—中医内科学]