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糖尿病肾病分期辨证治疗的探讨 被引量:49

Evaluation of treatment for diabetic renopathy by stage according to differetiation of symptoms and signs
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摘要 本文阐述了中医对糖尿病肾病的认识,认为糖尿病肾病的发生是由消渴迁延而致。究其病机,乃因燥热阴虚日久耗气而致气阴两虚,病情持续发展则阴损及阳可出现阴阳两虚,后期则出现阳衰浊毒瘀阻,且病变过程中又每多夹瘀。故主张本病辨证可分燥热阴虚、气阴两虚、脾肾气(阳)虚及阳衰浊毒瘀阻4型,并且每型可与糖尿病肾脏病变的各期相对应,以便临床施治。强调中医辨证治疗的重点应放在早期糖尿病肾病期。 The article expounded the recognition of DN with TCM and thinks the occurrence of DN is the result of XiaoKe deferment.The pathogenesis is the dryness-heat and deficiency of Yin,in a long time it results Qi dissipation and occurs in sufficiency of Qi and Ying,with the development of the disease,it results deficiency of Yin affecting Yang,so we can see deficiency Yin and Yang.In the supper stage it appears deficiency of Yang and blockage turbid fluid and blood.In the course of process of disease it often accompany bloods.So in the differentiation there are divided into dryness-heat and deficiency of Yin,insufficiency of Qi and Yin,Qi(Yang) deficiency in both spleen and kidney,deficiency of Yang and blockage of turbid fluid and blood.The differentiation corresponded to the stages of DN so as to improve clinical treatment.In the meantime,we emphasized the pivot of diagnosis and treatment based on overall analysis of symptoms and illness according to the basic theories of TCM is the premature DN,thus we can acquired the better results.
出处 《辽宁中医杂志》 CAS 北大核心 1999年第1期16-17,共2页 Liaoning Journal of Traditional Chinese Medicine
关键词 糖尿病肾病 分期辨证 中医药治疗 糖尿病 Diabetic Renopathy,clinical stages and differentiation of symptoms and signs,treatment of TCM
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