河南中医2024，Vol.44Issue(5)：670-675,6.DOI:10.16367/j.issn.1003-5028.2024.05.0125
基于"湿邪"分期论治糖尿病肾病
Staged Treatment of Diabetic Kidney Disease Based on"Dampness Pathogen"
摘要
Abstract
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.关键词
糖尿病肾病/湿邪/辨证论治/分期论治Key words
diabetic kidney disease(DKD)/dampness pathogen/syndrome differentiation and treatment/staged treatment分类
医药卫生引用本文复制引用
王恺,卞陈晨,安晓飞..基于"湿邪"分期论治糖尿病肾病[J].河南中医,2024,44(5):670-675,6.基金项目
国家自然科学基金项目(82074359) （82074359）
全国西学中骨干人才培训项目(2019-44) （2019-44）
