摘要
基于叶天士“辛润通络法”探析糖尿病肾病(DKD)的临床治疗。中医认为,DKD总属本虚标实之证,以肾虚为本,以瘀血为主要病理因素,病位在肾,而以“肾络”为要,“肾虚络瘀”为核心病机,贯穿疾病始末。在治疗上,辛润通络法旨在借助辛味药物的温行、走窜、濡润等特性以发挥辛畅气机、辛温助阳、蒸化津液、活血通络、辛润以补等作用,切合DKD病机特点。
The clinical treatment of diabetic kidney disease(DKD)based on Ye Tianshi’s“pungent moistening and dredging collaterals method”is discussed.According to traditional Chinese medicine,DKD is a syndrome of deficiency of origin and excess of signs.It is based on kidney deficiency,with blood stasis as the main pathological factor.The disease location is in the kidney,with“kidney collaterals”as essentials and“kidney deficiency and blood stasis”as the core pathogenesis throughout the whole process of disease.In the treatment,pungent moistening and dredging collaterals method aims to use the characteristics of pungent drugs,such as warming,channeling and moistening,so as to play the functions of pungent expediting qi activity,pungent helping yang,steaming body fluid,promoting blood circulation and dredging collaterals,pungent moistening and tonifying,which is consistent with the pathogenesis of DKD.
作者
卜祥辉
安海燕
郭晓媛
郭翔宇
BU Xianghui;AN Haiyan;GUO Xiaoyuan;GUO Xiangyu(Nephropathy Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《上海中医药杂志》
CSCD
2023年第2期89-93,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81904144)。
关键词
糖尿病肾病
络病
辛润通络法
中医药疗法
diabetic kidney disease
collateral disease
pungent moistening and dredging collaterals method
traditional Chinese medicine therapy
