糖尿病肾病的中医病机及用药

Pathogenesis and Medication of Diabetic Nephropathy in Traditional Chinese Medicine

糖尿病肾病发病率很高,是糖尿病患者最重要的并发症之一,蛋白尿是其主要临床表现。西医以控制血糖、降压调脂等对症处理为主,中医以整体辨证用药为主要治疗方式。本文从五气、五体、五味立论,运用阴升阳降的中医基本理论,结合五行生克变化的原理,概述糖尿病及其并发症糖尿病肾病的中医诊治病机及用药经验,以期为本病的进一步研究奠定基础。

As one of the most important complications of diabetes, the incidence of diabetic nephropathy is very high, proteinuria is the main clinical manifestation. Western medicine symptomatic treatment is mainly to control blood glucose, lower blood pressure,regulate lipid, and traditional Chinese medicine uses syndrome differentiation as the main treatment. Based on the five qi, five body,five tastes, this article used the basic theory of yin ascending-yang descending of traditional Chinese medicine, combined with the principle of generation-inhibition in five elements, summarized diabetes and diabetic nephropathy ’s diagnosis, treatment, medication of traditional Chinese medicine, in order to lay a foundation for further studies of the disease.