糖尿病肾病的中医治疗探讨

Discussion on treating diabetic nephropathy in TCM

糖尿病肾病是临床常见严重病症,也是终末期肾病的主要原因,一旦出现持续蛋白尿,就预示肾脏损伤无法逆转。我们以中医辨证论治理论为基础,结合西医微血管病变理论、慢性肾衰理论,根据阴虚夹瘀,妙用通经活络药物,以及阴损及阳,特别是慢性肾衰者,巧用温阳药物,临床上取得了显著的治疗效果,有的患者蛋白尿逐渐消失,肌酐平稳下降,达到了病情的长期稳定,值得临床上进一步探讨和关注。

Diabetic nephropathy is a common serious clinical disease and the main cause of end-stage nephropathy.Once persistent proteinuria occurs,it indicates that kidney injury can not be reversed.Based on TCM syndromes differentiation and treatment theory,with Western medicine microangiopathy theory and chronic kidney failure theory,Huoluo(活络)medicines on treating diseases caused by Yinxu(阴虚)plus Yu(瘀),and Wenyang(温阳)medicines on treating some renal diseases,especially chronic kidney failure shows an obviously clinical effects.Proteinuria of some patients gradually disappeared,creatinine was decreased steadily,and long-term stability of the disease was achieved.So treating renal diseases in TCM is worthy of further clinical investigation and attention.