从热结、血瘀、痰湿、虚症角度论治糖尿病肾病  

Treating Diabetic Nephropathy from Perspectives of Heat Accumulation, Blood Stasis, Phlegm-Dampness, and Deficiency Syndromes

作　　者：荣春梅 都增强[2] 

机构地区：[1]青海大学医学院,青海 西宁 [2]青海省中医院内分泌科,青海 西宁

出　　处：《临床医学进展》2024年第7期144-151,共8页Advances in Clinical Medicine

摘　　要：糖尿病肾病(Diabetic kidney disease, DKD)是糖尿病患者最常见的并发症之一,目前西医尚无针对性的防治方案。中医学根据临床症状,结合历史文献,将DKD归为“肾消”“水肿”“关格”等范畴,DKD病机复杂,涉及热、瘀、痰、浊的实邪及气、血、阴、阳的亏虚,各家学说对其病机各有见解,辨证分型众多尚无统一定论。本文以中医经典理论为依托,尝试从热结、血瘀、痰湿、虚证角度来归纳总结各医家论治DKD的经验及方药研究进展,可为临床辨治DKD提供参考。Diabetic kidney disease (DKD) is one of the most common complications in diabetic patients, and there is currently no targeted prevention and treatment plan in Western medicine. Based on the clinical symptoms and historical documents, traditional Chinese medicine classifies DKD into categories such as “kidney consumption”, “edema”, “dampness and heat”, etc. The pathogenesis of DKD is complex, involving the actual pathogens of heat, blood stasis, phlegm and turbidity, as well as the deficiency of qi, blood, yin and yang. Different schools of thought have different views on its pathogenesis, and there are many types of differentiation based on syndrome. This article attempts to summarize the experience and progress of drug research in the treatment of DKD from the perspectives of heat accumulation, blood stasis, phlegm and dampness, and deficiency syndrome, based on the classical theory of traditional Chinese medicine. This can provide reference for the clinical treatment of DKD.

关 键 词：糖尿病肾病 肾消 关格 水肿 中医药疗法 综述 

分 类 号：R58[医药卫生—内分泌]