饶向荣治疗早期糖尿病肾脏疾病经验

Experience of RAO Xiang-rong in Treating Early Diabetic Kidney Diseases

本文从病因病机、治法方药等方面探析饶向荣教授治疗早期糖尿病肾脏疾病(diabetic kidney disease,DKD)临床经验。饶教授认为,早期DKD患者长期饮食失节,嗜食肥甘醇酒,辛辣香燥之品,使中焦壅实,燥火桀骜,湿热壅滞,进而导致损伤脾肾,气阴两虚,脉络瘀阻等,病机以中焦燥热为核心,并提出"治下消必治中消"的治疗理念。

This article analyzed the clinical experience of Professor RAO Xiang-rong in the treatment of early diabetic kidney diseases(DKD)from the aspects of etiology,pathogenesis and methods of treatment prescriptions.Professor RAO believes that early DKD patients suffer from long-term eating disorders and like to eat high-salt,high-protein,high-fat,and high-calorie food,which results in the occlusion of middle Jiao,unruly dryness fire and retention of damp-heat,and then leads to the damage to spleen and kidney,qi and yin deficiency and blood stasis in meridians.He points out that the dryness-heat of middle Jiao is the core pathogenesis and puts forward the treatment concept of“Treating renal diabetes must first treat gastric diabetes”.