摘要
糖尿病肾病发病率逐渐升高,治疗成本昂贵。通过对北京地区DN中医证候的调查研究,发现DN的中医证候特征主要表现为气阴两虚挟血瘀,Ⅲ期主要为气阴两虚,可兼挟血瘀;Ⅳ期主要表现为气阴两虚挟血瘀;Ⅴ期中医证候均表现为气血阴阳俱虚、湿浊、瘀血阻滞的虚实夹杂重症。血瘀证贯穿病程始终,提示了血瘀证的重要地位。通过对专家的问卷调查发现,多数专家在DN的治疗上也强调益气养阴活血。北京地区近几十年来名老中医治疗糖尿病肾病也多以益气养阴活血立法。该法在DN的治疗上具有非常重要的地位,附以一典型案例说明该法在临床上治疗DN疗效显著,并进行了对该病病机的探讨。
The indidence of diabetic nephropathy is gradually increasing and the cost price of treatment is expensive.We investigated the Chinese syndrome patterns of this disease in patients who live in Beijing.The result showed that the main syndrome pattern of daibetic nephropathy was qi and yin deficiency combined with blood stasis.In stage III,the main syndrome was qi and yin deficiency,and blood stasis might co-exist.In stage IV,the main syndorme was qi and yin deficiency combined with blood stasis.In stage V,the syndorme was deficiency of qi,blood,yin and yang,combined with dampness evil or blood stasis.The syndrome of blood stasis persisted in the complete course of disease.Thus,the treatment principle should be based on replenishing qi,nourishing yin and activating blood circulation.We investigated experts by questionnaire and the result supported the aformentioned treatment principle.Experienced Tradtional Chinese doctors also emphasized on this principle.A typical case was reported to illustrate the effectiveness of this principle and the pathogenesis of diabetic nephropathy was discussed.
出处
《中医药学报》
CAS
2009年第3期6-8,共3页
Acta Chinese Medicine and Pharmacology
基金
国家973计划(编号:2005CB523503)
北京市首都发展基金联合攻关项目(编号:2005-SF-I-015)
关键词
糖尿病肾病
气阴两虚
血瘀
益气养阴活血
典型案例
Diabetic nephropathy
Qi and yin deficiency
Blood stasis
Replenishing qi,nourishing yin and activating blood circulation
Typical case
