基于"湿邪"分期论治糖尿病肾病OA

The etiology of diabetic kidney disease(DKD)mostly includes unclean diet,emotional internal injury,and constant kidney deficiency.The pathogenesis mostly belongs to deficient root cause and excessive manifestation.The deficiency of the spleen and kidney is the root,and the dampness,blood stasis and turbid toxin are the root.The dampness pathogen runs through DKD all the time.Accord-ing to the different manifestations of dampness in DKD,DKD treatment can be divided into four stages:In early stage when endogenous dampness heat occurs,the treatment should focus on resolving dampness,clearing heat and nourishing yin.In the middle stage,damp-ness and blood stasis blocks the meridians,and it is advisable to drain dampness,remove blood stasis,and unblock the meridians.In the late stage,there is excessive dampness and turbidity,and it is advisable to reduce turbidity,detoxify,and strengthen healthy qi.In the late stage,there is dampness and toxin accumulation,it is also advisable to reduce turbidity,detoxify,and strengthen healthy qi.There are obvious differences in the comparison of pathogenic factors and heathy qi in different stages of DKD.It is necessary to further study the application indications,dosage and usage of different dampness-resolving drugs according to the characteristics of the syndromes in each stage in order to find out the source of dampness,make dynamic observation,improve the accuracy of drug use,so as to eliminate dampness without damaging yin,and supplement deficiency without stagnating pathogenic factors.