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终末期糖尿病肾病中医病因病机研究进展 被引量:9

Research progress on etiology and pathogenesis of end-stage diabetic nephropathy in TCM
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摘要 当代中医对终末期糖尿病肾病的总体病机达成基本共识:糖尿病病程日久,久病及肾,肾不耐邪,体用两伤,开阖失司,体内浊毒积聚,侵犯五脏六腑,致五脏六腑俱伤,气血阴阳俱损。在此基本病因病机的基础上,各医家根据临床心得,创新性地提出了不同的病因病机理论:邪伤肾络,肾之玄府闭塞,微型癥瘕形成,伏邪藏匿等,并且提出了不同的病机层次学说。当代医家对终末期糖尿病肾病的中医病因病机理论认识丰富,为该病的治疗提供了新的思路与方法。 Contemporary doctors of TCM have reached a basic consensus on etiology and pathogenesis of end-stage diabetic nephropathy: diabetes has a long course of disease, kidney gets invaded and does not have the abilily to resist evil. As a result, both body and function of kidney are hanned, which manitests the dysfunction of controlling excretion and retention of water. Bring about a lot of turbidity and poison accumulating in the body, as well as invading five-zang-organ and six-fl〉organ organs. Leading to the damaging of internal organs, both qi and blood, yin and yang are injuried. On the basis of this etiologT and pathogenesis, the TCM doctors, according to the clinical experience, innovatively put torward different theories about etiology and pathogenesis of the disease : Evils damage kidney-collaterals ; the sweat pore of the kidney is occlusion; micro abdominal mass is tormed, incubative pathogenic factors are hidden, ere, what' s more, the theory of different pathogenesis levels are proposed. Contemporary doctors of TCM are well aware of the etiology and pathogenesis of end-stage diabetic nephropathy and provide new ideas and methods for the treatment of this disease.
作者 王青 赵学敏 赵林华 WANG Qing;ZHAO Xuemin;ZHAO Linhua(Guang' anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处 《环球中医药》 CAS 2018年第8期1325-1329,共5页 Global Traditional Chinese Medicine
基金 国家中医药管理局中医药科学技术研究专项(2016ZX03)
关键词 糖尿病肾病 终末期糖尿病肾病 消渴病肾病 中医病因病机 综述 Diabetic nephropathy End-stage diabetic nephropathy Consumptive-thirstnephropathy Etiology and pathogenesis in TCM Review
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