北京中医药大学学报2025，Vol.48Issue(1)：1-7,7.DOI:10.3969/j.issn.1006-2157.2025.01.001
基于"苦欲补泻"理论论治糖尿病肾脏病
Treating diabetic kidney disease based on"using bitter herbs to nourish or purge"theory
摘要
Abstract
The Huangdi Neijing proposes the"using bitter herbs to nourish or purge"theory to guide clinical prescription and formulation of herbal remedies based on the physiological characteristics and functions of the five zang viscera,along with the properties and flavors of medicinal herbs.This study explored diabetic kidney disease pathogenesis and treatment based on the"using bitter herbs to nourish or purge"theory.Kidney dryness is a key pathological factor in diabetic kidney disease,and the disharmony of kidney dryness is an essential aspect of its pathogenesis.Strengthening is the primary therapeutic principle,and kidney dryness is a persistent factor throughout the occurrence and progression of diabetic kidney disease.In the early stage,the pathogenesis involves heat-consuming qi and injuring yin,leading to kidney dryness.In the middle stage,the pathogenesis manifests as qi deficiency and blood stasis in the collaterals,resulting in turbidity owing to kidney dryness.In the late stage,the pathogenesis involves yin and yang deficiency,with kidney dryness and disharmony.This study proposes the staging-based treatment based on the"need for firmness"characteristic of the kidney.The aim is to provide new insights for clinical diagnosis and treatment in traditional Chinese medicine by rationally using pungent,bitter,and salty medicinal herbs to nourish and moisturize the kidney.This approach seeks to promote precise syndrome differentiation and personalized treatment for different stages of diabetic kidney disease,thereby enhancing clinical efficacy.关键词
苦欲补泄/肾燥/糖尿病肾脏病/分期论治Key words
using bitter herbs to nourish or purge/kidney dryness/diabetic kidney disease/staging-based treatment分类
医药卫生引用本文复制引用
姜伟民,王耀献,魏蜀吴,张佳乐,侠晨辉,杨杰,孙立巧,李鑫荣,孙卫卫..基于"苦欲补泻"理论论治糖尿病肾脏病[J].北京中医药大学学报,2025,48(1):1-7,7.基金项目
国家自然科学基金项目(No.82174356) （No.82174356）
北京中医药大学"岐黄英才·名医培育计划"(No.Y2023B08) National Natural Science Foundation of China(No.82174356) （No.Y2023B08）
