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消渴肾病病因病机新论 被引量:8

A New Theory on Etiology and Pathogenesis of Diabetes Nephropathy
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摘要 消渴肾病的病机为糖尿病导致人体内环境甘味太过,持续影响脾肾,机体出现功用上脾实肾虚,形态上脾虚肾实。情志因素对该病的影响以肝气郁结为主,渐至心脾皆受累而虚,五脏皆虚,最终至肾。肾真阴真阳亏虚,而内潜之命门真火上燔下越,进入肾虚阳浮越,真阴将竭之重症期,并逐步向肾衰重症转化。故在消渴肾病的发病中,情志因素贯穿始终,多种病理产物综合作用,导致五脏受累,以肾虚肾燥为主要表现。 The pathogenesis of Diabetes Nephropathy is that diabetes leads to excessive sweetness in human body environment, which continuously affects the Spleen and Kidney.The body appears functionally with Spleen excessiveness and Kidney deficiency, while morphologically, Spleen deficiency and Kidney excessiveness.The influence of emotional factors on the disease is mainly due to stagnation of Liver Qi, which gradually affects the Heart and Spleen and causes deficiency of the Five Zang, and finally reaches the Kidney.When the Kidney Yin and Yang are deficient, the inner Fire of the Ming Men, which is hidden inside, burns up and down, and the serious stage in which the Kidney Yang floats outside and the Yin exhausts and the condition would become worse and worse.Therefore, in the pathogenesis of diabetes nephropathy, emotional factors run through the whole process and a variety of pathological products have a comprehensive effect, resulting in the injury of the Five Zang, in which the main manifestation of the Kidney is Kidney deficiency and dryness.
作者 杨晗 孙阿茹 陈锐 YANG Han;SUN Aru;CHEN Rui(Changchun University of Traditional Chinese Medicine,Changchun Jilin China 130117)
机构地区 长春中医药大学
出处 《中医学报》 CAS 2022年第11期2291-2296,共6页 Acta Chinese Medicine
基金 吉林省教育委员会科研基金项目(JJKH202008-83KJ)。
关键词 消渴肾病 糖尿病 情志 肾虚 肾燥 病因病机 diabetes nephropathy diabetes emotion kidney deficiency kidney dryness pathogenesis
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