基于古籍文献的“消渴肾病”用药探究

Ancient Literature review of herbal medicine administered to diabetes nephropathy

[目的]通过对古籍中各代医家记载的消渴名方进行整理,归纳出下消的中医用药规律,为现代的方药研究提供思路。[方法]采用统计学分析和中医理论研究相结合的方法。[结果]历代医家治疗下消时利水渗湿药和收涩药的使用频率分别是治疗消渴时的1.68倍、2.10倍;补益药和活血化瘀药的使用频率分别是治疗消渴时的1.05倍、1.31倍;而清热药和解表药的使用频率和消渴相比要明显降低。[结论]治疗现代"消渴肾病"时应在运用古今消渴病治疗原则的基础上,把利水渗湿药、收涩药、活血化瘀药、补益药的使用特别纳入考虑。

[Objective] To generalize the regularity of medication for lower consumption and provide ideas for renal diabetes research through the summary and analysis of the medical records in ancient books of diabetes. [Methods] The combined methods of statistical analysis and traditional Chinese medicine theory research were used. [Results] When the ancient physicians treated renal diabetes, the usage frequency of diuretics for eliminating dampness and astringents were 1.68 times and 2.10 times of traditional diabetes medicine treatment respectively. The usage frequency of reinforcing drugs and drug for invigorating blood circulation and eliminating stasis circula-tion and removing blood stasis were 1.05 times and 1.31 times of treating diabetes. And frequency of antipyretic agent and diaphoretics significantly reduced comparing with the treating of diabetes. [Conclusion] Diuretics for eliminating dampness , astringents, reinforcing a -gent and drug for invigorating blood circulation and eliminating stasis were taken into account in particular, based on ancient and modern treatment principle of diabetes.