从脏腑气血阴阳辨治糖尿病性肾病

Discuss Diabetic Nephropathy(DN) from Organs Qi Blood Yin and Yang

糖尿病性肾病其病机为虚实夹杂,本虚为肝、脾、肾气血阴阳失调;标实多为燥热、湿浊、瘀血、水毒。根据疾病所处的病理阶段及临床表现,可分为阴虚燥热证、肝肾阴虚证、气阴两虚证、阴阳两虚证、脾肾阳虚证及肾阳衰微证等6型,治疗上强调早期治疗,辨证施治,兼顾标本虚实,发挥中医药治疗本病的优势,使病情长期稳定,延缓疾病进程。

DN is one of complications of diabetes,whose mechanism is mixed insufficiency and excess,insufficiency:disordered liver,spleen,kidney Qi blood yin and yang;superficial excess:dry hot,turbid,stasis and water toxin.Under pathological stages and clinical appearance,it can be divided into 6 types:yin deficiency and dry hot,yin deficiency of liver and kidney,both deficiency of Qi and yin,yang deficiency of spleen and kidney and failure kidney yang;the treatment emphasis is early dealing,differentiation based on signs,paying attention to root and superficial,exerting TCM advantages,making long stable disease,and delaying disease course.