北京中医药大学学报2024，Vol.47Issue(4)：454-458,5.DOI:10.3969/j.issn.1006-2157.2024.04.002
基于辨机论治探讨伏热在糖尿病肾脏疾病中的作用
Discussion on the role of latent heat in diabetic kidney disease based on symptomatic treatment based on pathogenesis differentiation
摘要
Abstract
Diabetic kidney disease(DKD)is a severe complication of diabetes.Its incidence increases annually,posing a significant burden on public health.The strategy of symptomatic treatment based on pathogenesis differentiation,focusing on identifying pathogenesis,is particularly meaningful for managing complex and variable chronic diseases like DKD.Within this framework,the state of latent heat persists throughout DKD,with"latent heat causing accumulation"identified as the core pathogenesis affecting and promoting the development and progression of DKD.This paper is centered on the concept of"latent heat causing accumulation"and adopts symptomatic treatment based on pathogenesis differentiation as its guiding principle to explore the role of latent heat in DKD.It highlights that the onset of DKD involves environmental and constitutional pathogenesis associated with"the concealment of latent heat"and"stagnant-heat invading collaterals"as the initial pathogenesis,"latent heat causing accumulation"as the core mechanism,and"secondary turbid heat"as the derivative pathogenesis.These pathogenesis factors collectively influence the symptoms,sequelae,and prognosis of DKD.Moreover,this paper provides commonly used prescriptions for different stages,syndrome types,and complications of the disease,aiming to offer a reference for clinical practice in flexibly addressing changes in disease conditions based on varied pathogenesis.关键词
辨机论治/伏热致癥/糖尿病肾脏疾病/消渴肾病Key words
symptomatic treatment based on pathogenesis differentiation/latent heat causing accumulation/diabetic kidney disease/consumptive thirst involving kidney分类
医药卫生引用本文复制引用
赵乐滢,王珍,刘晴晴,李丹婷,艾思南,陶嘉茵,王耀献..基于辨机论治探讨伏热在糖尿病肾脏疾病中的作用[J].北京中医药大学学报,2024,47(4):454-458,5.基金项目
国家自然科学基金面上项目(No.82274460) （No.82274460）
国家中医药管理局中医药传承与创新"百千万"人才工程项目(国中医药人教发[2018]12 号) （国中医药人教发[2018]12 号）
北京中医药大学揭榜挂帅项目(No.2022-JYB-JBZR-038) National Natural Science Foundation of China(No.82274460) （No.2022-JYB-JBZR-038）
