朱辟疆辨治糖尿病肾病经验

ZHU Pijiang’s Experience in Differential Treatment of Diabetic Nephropathy

介绍朱辟疆教授辨证论治糖尿病肾病的经验。朱老师依据糖尿病肾病的临床特征将其归类于中医学消渴下消、消渴病肾病、溺毒范畴,认为糖尿病肾病的病因病机为脾肾不足、脉络瘀阻、阴阳失调、气机升降失司,临床多从消渴肾病辨证施治。临床治疗时注重疾病分期及分阶段治疗,通过辨病与辨证相结合,取得较好临床疗效。

In this paper,ZHU Pijiang’s differential treatment experience in diabetic nephropathy were introduced. According to the clinical characteristics of diabetic nephropathy,Prof. ZHU classified it into lower consumptive thirst,consumptive thirst nephropathy and toxic urine. Prof. ZHU considered that the etiology and pathogenesis of diabetic nephropathy were the spleen and kidney deficiency,blood stasis and obstructed in vessels,yin-yang disharmony and Qi failure of ascending and descending. In clinical practice,the consumptive thirst nephropathy was differentiated and treated. During the staging treatment,it needs to combine the disease differentiation with syndrome differentiation to improve its clinical efficacy.