王延丰主任中医师治疗糖尿病肾病经验

Experience of Chief Physician of Traditional Chinese Medicine Wang Yanfeng in the Treatment of Diabetic Nephropathy

糖尿病肾病是糖尿病最重要的微血管并发症之一,是目前引起终末期肾病的首要原因,该病属中医“消渴”范畴。现从病因病机、治法治则等方面探讨王延丰主任治疗本病的经验。王延丰主任认为本病病位在肾,在病因病机方面,肾气不足是发病之本,瘀阻肾络、湿热内蕴为病之标。肾失开阖,一则封藏失职,精微下泄而为尿浊失精(糖尿、蛋白尿);二则水液内停,外溢肌肤,致尿少水肿。故在治疗上当以补肾益气、化瘀通络、清利湿热为主,在临床上取得了良好的疗效。

Diabetic nephropathy is one of the most important microvascular complications of diabetes,which is the primary cause of end-stage renal disease.It belongs to the category of diabetic nephropathy.This paper discusses the experience of director Wang Yanfeng in the treatment of this disease from the aspects of etiology,pathogenesis and treatment principles.Director Wang Yanfeng thinks that the disease is located in the kidney.In terms of etiology and pathogenesis,deficiency of kidney qi is the cause of the disease,and stasis of kidney collaterals and accumulation of damp heat are the criteria of the disease.When the kidney fails to open and close,one is due to improper sealing and storage,while the other is due to turbid urine(glycosuria and albuminuria);the other is due to internal stop of water,which overflows the skin,resulting in less urine edema.Therefore,in the treatment of kidney tonifying qi,removing blood stasis and dredging collaterals,clearing away dampness and heat,it has achieved good clinical effect.