基于伏邪理论治疗糖尿病肾病
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摘要
伏邪是指邪气留恋,潜伏于人体,逾时而发的邪气。于糖尿病肾病而言,痰浊、瘀血、水湿内毒是最主要的伏邪,这些伏邪是糖尿病肾病病情发展的重要病理因素,贯穿于糖尿病肾病发生发展的整个过程。根据不同的伏邪辨证,予以化痰消饮、行气活血、化浊祛湿等不同的中医治法,可有效改善糖尿病肾病患者临床症状,延缓病情发展,提高患者生活质量。
Fuxie refers to the pathogen that stays in the human body and lurks in the human body. Under appropriate conditions,it will cause the disease. In the case of diabetic nephropathy,phlegm turbidity,blood stasis and water-dampness endotoxin are the main incubation pathogens. These incubation pathogens are the important pathological factors in the development of diabetic nephropathy and run through the whole process of the occurrence and development of diabetic nephropathy. According to different syndrome differentiation of fuxie,different TCM therapies such as resolving phlegm and eliminating yin,promoting qi and blood circulation,resolving turbidity and removing dampness can effectively improve the clinical symptoms of patients with diabetic nephropathy,delay the development of the disease and improve the quality of life of patients.
Fuxie refers to the pathogen that stays in the human body and lurks in the human body. Under appropriate conditions,it will cause the disease. In the case of diabetic nephropathy,phlegm turbidity,blood stasis and water-dampness endotoxin are the main incubation pathogens. These incubation pathogens are the important pathological factors in the development of diabetic nephropathy and run through the whole process of the occurrence and development of diabetic nephropathy. According to different syndrome differentiation of fuxie,different TCM therapies such as resolving phlegm and eliminating yin,promoting qi and blood circulation,resolving turbidity and removing dampness can effectively improve the clinical symptoms of patients with diabetic nephropathy,delay the development of the disease and improve the quality of life of patients.
引文
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[14]中国中医药学会内科肾病专业委员会.糖尿病肾病的中医治疗及用药经验谈[J].上海中医药杂志,2001,35(5):15-18.
[15]仁建素.邹燕勤治疗糖尿病肾病对药应用经验拾萃[J].上海中医药杂志,2008,42(6):8-9.
[16]董振华,季元.祝谌予治疗糖尿病慢性并发症的经验[J].中医杂志,1997,28(1):12-14.
[17]仝小林.糖尿病中医防治指南解读[M].北京:中国中医药出版社,2009:55-84.
[18]林莹宣,张静,曾静.亓鲁光治疗糖尿病肾病经验撷要[J].山西中医,2009,25(1):6-7.
[19]涂萱,岳仁宋,杨金蓉,等.岳仁宋教授治疗糖尿病肾病蛋白尿经验[J].四川中医,2016,34(7):11-12.
[2]廖二元.内分泌代谢学[M].北京:人民卫生出版社,2012:1358-1362.
[3]倪青.糖尿病肾病的中西医结合研究思路与方法[J].中医药通报,2002,1(1):25-38.
[4]朴春丽,杨叔禹.早期干预糖尿病策略中暑“伏毒伤肝”的思考[J].中华实用中西医结合杂志,2009,22(15):1272.
[5]高泓.从伏邪理论对糖尿病大血管病变代谢记忆的理论探讨[J].时珍国医国药,2013,24(9):2203-2204.
[6]张丽芬,赵进喜,王世东.中西医结合治疗糖尿病肾病肾功能不全失代偿期临床分析[J].中医药学刊,2005,23(3):440-442.
[7]章真如.章真如医学十论[M].武汉:武汉出版社,1992:391-400.
[8]魏玉辉,赵飞,莎依娜,等.谈糖尿病肾病的病性特点及其中医治疗的指导作用[J].新疆中医药,2014,32(2):76-77.
[9]毕桂芝,仝小林.络病研究及治疗进展[J].首都医药杂志,2005,16(3):46-47.
[10]仝小林,周水平,朴信映,等.络通对糖尿病大鼠肾脏的保护作用及机理研究[J].中国中医基础医学杂志,2001,7(12):35-37.
[11]王晓光,王亚丽,张佩清.张琪教授辨治糖尿病肾病经验介绍[J].新中医,2005,37(3):20-21.
[12]徐云生,李莹.程益春治疗糖尿病肾病及视网膜病变经验[J].山东中医杂志,1998,17(1):32-33.
[13]高鸣,胡江华,孙善红.邵朝弟教授治疗糖尿病肾病的经验[J].四川中医,2006,24(4):6-7.
[14]中国中医药学会内科肾病专业委员会.糖尿病肾病的中医治疗及用药经验谈[J].上海中医药杂志,2001,35(5):15-18.
[15]仁建素.邹燕勤治疗糖尿病肾病对药应用经验拾萃[J].上海中医药杂志,2008,42(6):8-9.
[16]董振华,季元.祝谌予治疗糖尿病慢性并发症的经验[J].中医杂志,1997,28(1):12-14.
[17]仝小林.糖尿病中医防治指南解读[M].北京:中国中医药出版社,2009:55-84.
[18]林莹宣,张静,曾静.亓鲁光治疗糖尿病肾病经验撷要[J].山西中医,2009,25(1):6-7.
[19]涂萱,岳仁宋,杨金蓉,等.岳仁宋教授治疗糖尿病肾病蛋白尿经验[J].四川中医,2016,34(7):11-12.