从“病位、病性”论糖尿病肾病的藏象辨证思路

Visceral differentiation of diabetic nephropathy from "disease location" and "disease nature"

基于"藏象辨证"理论基础,从糖尿病肾病的病位、病性角度分析其发病原因及发病机制,简析本病辨证思路。查阅古今文献中有关糖尿病肾病的记载,并结合现代学者对糖尿病肾病的研究结果,通过藏象辨证思路来探讨糖尿病肾病的病位病性,故知糖尿病肾病的病位以脾肾为主;病性以气阴两虚、瘀血、水停为主要因素。

Basic on the theory of"visceral differentiation",the etiology and pathogenesis of diabetic nephropathy(DN)were analyzed from the point of disease location and disease nature,and the syndrome differentiation of DN was briefly analyzed.By consulting the records of DN in ancient and modern literature and combining with the research results of modern scholars on DN.This paper explored the disease location and disease nature of DN through the thought of syndrome differentiation of visceral symptoms,so it is known that the disease location of DN is mainly spleen and kidney,and the disease nature is mainly Qi-Yin deficiency,blood stasis and water arrest.