中医药干预糖尿病肾病的治疗进展

Recent Advances in the Treatment of Diabetic Nephropathy TCM Intervention

糖尿病肾病(Dialaetie Nephropathy,DN)属于中医"消渴"、"虚劳"、"水肿"、"肾劳"等范畴,多数学者认为本病由于消渴日久、迁延不愈而并发。主要病机为阴虚燥热,阴虚为本、燥热为标,日久可致气阴两虚、阴阳两虚并可兼夹血瘀、痰湿、浊毒等标证,是糖尿病常见的慢性微血管并发症之一。作为糖尿病的常见并发症,发病率日益增高,在欧美已成为引起终末期肾病的第一位病因,在我国也已成为肾衰竭血液透析的第二位原因,由于具有发病率高、无特异性治疗方法、预后不良等特点,也是DN的主要死亡原因之一,现代医学对本病多采用控制血糖、血压等治疗,但不能有效控制本病进展,而中医采用辨证与辨病相结合组方,在提高治疗效果、延缓DN进展等方面均具有一定优势。

Diabetic Nephropathy（ Dialaetie Nephropathy, DN） belongs to TCM ＂ symptom-complex of excessive eating ＂, ＂con- sumptive disease＂, ＂edema＂and ＂kidney overstrain＂ category, most scholars believe that this disease due to diabetes, defer does not heal and concurrent. Main pathogenesis is Yin scorching, Yin as the basic, and standard for heat,long can cause gas Yin deficiency, de- ficiency of Yin and Yang and blood stasis, phlegm and dampness, turbidity toxin standard certificate, etc. Is one of the common chronic microvascular complications of diabetes,as a common complication of diabetes,the incidence is rising,in Europe and the United States has become the first the causes of end-stage renal disease, kidney failure hemodialysis in our country has become the second reason, be- cause of lack of characteristic with high incidence, treatment and prognosis, and one of the main causes of death of DM, one of the mod- em medicine for the disease treatment with more control blood glucose ,blood pressure ,etc ,but it can not effectively control the disease progress, and the combination of TCM syndrome differentiation and disease characteristics,in improving treatment effects, slow progress in DN,ete have certain advantages.