摘要
糖尿病肾病已经成为全球范围内慢性肾病和终末期肾病的主要原因,在疾病的发展变化中,糖尿病肾病基本遵循由轻到重、由实转虚、由热转寒的生理病理动态变化,符合《伤寒论》所载疾病从“三阳”到“三阴”的传变规律。早期糖尿病肾病阶段阳邪亢盛,根据阳盛的程度、病位的不同以及病情进展的趋势进行太阳、阳明、少阳病的辨治,从而达到阴平阳秘,阴阳平衡的状态;若阴阳失衡的状态未能及时纠正,阳盛日久,重阳则阴,疾病进一步进展最终导致阳损及阴、阴阳俱虚,此时阴邪偏盛,正气已虚,应以太阴、少阴、厥阴病辨证论治为主。糖尿病肾病病情复杂多变、虚实夹杂,在临床上可见顺传、越经传、表里传、直中、合病、并病等情况,因此需具体问题具体分析,灵活运用六经辨证的方法辨治糖尿病肾病。
Diabetic nephropathy has become a major cause of chronic kidney disease and end-stage kidney disease worldwide.In the development and change of the disease,diabetic nephropathy basically follows the physiological and pathological dynamic changes from light to severe,from excess to deficiency,from hot to cold,in line with the transmission law from‘three yang’to‘three yin’written in Shanghan Lun.Exuberance of yang evil exists the early stage of diabetic nephropathy.According to the degree of yang exuberance,the different disease locations and the trend of disease progression,to differentiation and treatment as taiyang,yangming or shaoyang diseases,so as to achieve the state of the balance of yin and yang.The condition of diabetic nephropathy is complex and changeable,with the mixture of deficiency and excess,which can be seen in clinic,such as along transmission,more meridian transmission,external and internal transmission,straight in the middle,concomitant disease,concomitant disease and so on.Therefore,it is necessary to analyze the specific problems and flexibly using the method of six channel syndrome differentiation to treat diabetic nephropathy.
作者
张帆
刘伟敬
郑慧娟
郭敬
郭小乐
艾思南
刘相均
申玥
王耀献
ZHANG Fan;LIU Weijing;ZHENG Huijuan;GUO Jing;GUO Xiaole;AI Sinan;LIU Xiangjun;SHEN Yue;WANG Yaoxian(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《环球中医药》
CAS
2021年第5期835-840,共6页
Global Traditional Chinese Medicine
基金
国家科技部重大新药创制课题(2017ZX09304019)
国家自然科学基金青年基金(82004272)
国家自然科学基金(81774298)。
关键词
糖尿病肾病
张仲景
《伤寒论》
经方
三阴三阳
六经辨证
Diabetic nephropathy
ZHANG Zhongjing
Shanghan Lun
Classical prescription
Three yin and three yang
Six channel syndrome differentiation
