摘要
糖尿病肾病是糖尿病最常见的并发症之一,目前医家对于糖尿病肾病的认识依旧没有明确的统一认识,对于其病机各有自己的认知,且中药缺乏广泛的临床研究,临床医生在治疗患者的时候也没有完善的中西医结合体系。该文检索了国内近10年来有关糖尿病肾病的中医相关研究文献,从病名、病因病机、辨证分型、治疗用药、单味药物现代研究等方面对糖尿病肾病的中医研究进行了综述。多数医家认为该病以气阴两虚、脾肾两虚、肝肾两虚、痰瘀互结为主要病机。现代医家治疗该病的方剂多数以补气益肾、养阴生津、利水渗湿、活血化瘀为目的,与西医化学药物治疗相比,中医药治疗具有标本兼治、多脏器共同治疗的特点,且中药相比西药来说,具有不良反应更小、药效更为持久的特点。
Diabetic nephropathy is one of the most common complications of diabetes mellitus.At present,there is still no clear and unified understanding of diabetic nephropathy among medical doctors,each of them has their own perception of the disease mechanism,and there is no extensive clinical research on traditional Chinese medicine,and there is no perfect combination of traditional Chinese and Western medicines system for clinicians to treat patients.In this paper,we searched the Chinese medicine related research literature about diabetic nephropathy in the past 10 years in China,and reviewed the Chinese medicine research on diabetic nephropathy from the aspects of disease name,etiology and pathogenesis,identification and typing,therapeutic use of medicines,and modern research on single herb Chinese medicine,etc.Most medical doctors believe that the disease is characterized by deficiency of Qi and Yin,deficiency of spleen and kidney,deficiency of liver and kidney,and phlegm and blood stasis as the main pathogenesis.Most of the prescriptions used by modern medical doctors to treat the disease are aimed at tonifying Qi and benefiting kidneys,nourishing Yin and generating fluids,inducing diuresis and seepage of dampness,and activating blood circulation and removing blood stasis.Compared with the chemical drug treatment of Western medical doctors,the treatment of traditional Chinese medicine has the characteristics of treating the symptoms and root causes of diabetes mellitus and the joint treatment of multiple organs,and the traditional Chinese medicines,compared with Western medicines,have the characteristics of fewer side-effects and longer-lasting efficacy.
作者
刘明辉
刘明磊
叶玉枝
刘文艳
LIU Minghui;LIU Minglei;YE Yuzhi;LIU Wenyan(Liaoning Vocational College of Medical,Shenyang 110101,Liaoning,China;Shenyang Hospital of Traditional Chinese Medicine,Shenyang 110004,Liaoning,China)
出处
《辽宁中医药大学学报》
CAS
2024年第12期185-188,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
辽宁省教育厅科研项目(L2014590)。
关键词
糖尿病肾病
中医治疗
消渴
病因病机
辨证论治
diabetic nephropathy
TCM treatment
thirst elimination
etiology and pathogenesis
syndrome differentiation treatment
