从血瘀证论述糖尿病性肾病病机及治疗

Discussion on the pathogenesis and treatment of diabetic nephropathy from the Xueyu syndrome

糖尿病肾病(Diabetic Nephropathy,DN)发病率高,病程迁延,是导致终末期肾病的第二大主要疾病。延缓糖尿病肾损害的病情进展,是临床关注的重点。通过对DN证型的分析,明确了其病机为本虚标实,血瘀源于本虚,又对机体产生进一步的损害,且贯穿DN的始终。故从血瘀证角度探讨DN的病机和治疗,有重要的临床参考价值。

Diabetic nephropathy with the character of high incidence and long-course has been the second major disease leading to end-stage nephropathy.Delaying the progress of diabetic kidney damage is the critical point of clinical therapy.The conclusion is clear that the pathogenesis of DN is deficient in essence and excessive in appearance by analyzing the syndrome types of DN.Blood stasis originates from the deficiency and does further damage to the body in turn,which as a new mechanism runs through the whole course of DN.So it is significant to discuss the pathogenesis and treatment of DN from blood stasis to provide reference for clinical therapy.