文献类型：期刊文献

中文题名：从脾肾关系探讨糖尿病肾病防治思路

英文题名：Discussion on Prevention and Treatment of Diabetic Nephropathy from Relationship Between Spleen and Kidney

作者：赵哲[1];白敏[1];胡蓉[1];靳玉秋[1];田萌媛[1];陈光顺[1];刘臻华[1]

第一作者：赵哲

机构：[1]甘肃中医药大学,甘肃兰州730030

第一机构：甘肃中医药大学

年份：2024

卷号：43

期号：7

起止页码：686

中文期刊名：山东中医杂志

外文期刊名：Shandong Journal of Traditional Chinese Medicine

收录：CSTPCD

基金：国家自然科学基金地区科学基金项目(编号:82160865);甘肃省优秀研究生“创新之星”基金项目(编号:2022CXZX-769)。

语种：中文

中文关键词：糖尿病肾病;脾肾虚损;水津失制;健脾制水;固本培元

外文关键词：diabetic nephropathy;spleen and kidney deficiency;failing to regulating water and fluids;invigorating spleen to regulate water;consolidating root and cultivating origin

摘要：糖尿病肾病是临床常见糖尿病并发症,为终末期肾病的主要病因。糖尿病肾病归属于中医学消渴病继发的水肿、尿浊等范畴,其病因为禀赋不足、饮食不节等,以多食、多饮、多尿和体质量减少、尿浊为主要表现,病机虚实错杂。基于脾肾相关理论探讨糖尿病肾病发生之病因病机,认为脾肾虚损、水津失制是该病发生的根本病机,多伴随脾肾两虚,或有水液代谢失常、血脉瘀滞。从健脾制水、温土制水、固本培元三个角度系统总结脾肾二脏在糖尿病临床辨治过程中的具体应用,以期为中医防治糖尿病肾病提供新的思路和借鉴。
Diabetic nephropathy is one of the most common diabetic complications in clinic and is the major cause of end-stage renal disease.According to traditional Chinese medicine(TCM)theory,diabetic nephropathy belongs to the category of edema and turbid urine secondary to diabetes.The disease cause involves factors such as insufficient endowment and improper diet,with the manifestations such as eating more,drinking more and urinating more,body weight loss,and turbid urine,and the disease mechanism is mixed deficiency and excess.Based on the theory of interrelated spleen and kidney,the disease cause and mechanism of diabetic nephropathy are explored.It is held that deficiency of spleen and kidney and failing to regulating water and fluids are the fundamental disease mechanism of diabetic nephropathy,usually accompanied with deficiency of both spleen and kidney,or with abnormal metabolism of water and blood stasis.From the three aspects,namely invigorating spleen to regulate water,warming earth to regulate water,and consolidating root and cultivating origin,the specific application of spleen and kidney in the process of clinical differentiation and treatment of diabetes was summarized,in order to provide new ideas and reference for the prevention and treatment of diabetic nephropathy in TCM.