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糖尿病肾病“微型癥瘕”病理假说解析
引用本文:丁英钧,肖永华,傅强,潘莉,赵进喜.糖尿病肾病“微型癥瘕”病理假说解析[J].中华中医药杂志,2009(1).
作者姓名:丁英钧  肖永华  傅强  潘莉  赵进喜
作者单位:北京中医药大学东直门医院教育部中医内科学重点实验室;河北医科大学中西医结合学院;
基金项目:“十一五”国家科技支撑计划资助项目(No.2006BAI04A03-2)
摘    要:在整理古代文献的基础上,参照现代医学相关认识,结合临床实际,提出糖尿病肾病微型癥瘕病理假说,认为糖尿病肾病的发生、发展,实质上是糖尿病治不得法,迁延不愈,伤阴耗气,痰、郁、热、瘀互相胶结,积聚于肾之络脉,形成微型癥瘕,由瘕聚渐成癥积的过程。正气亏虚为肾生癥瘕之因,痰热郁瘀互结为肾生癥瘕之关键。临证时应抓住微型癥瘕这一共性病理环节,及早治疗,在辨证施治的基础上,强调活血化瘀、软坚散结治法,以阻止其微型癥瘕的形成,防止瘕聚不断发展成癥积。微型癥瘕病理假说的提出,丰富和发展了中医治未病理论。

关 键 词:糖尿病肾病  病理假说  微型癥瘕  

Explanation and analysis on TCM pathology hypothesis micro-zhengjia of diabetic nephropathy
DING Ying-jun,XIAO Yong-hua,FU Qiang,PAN Li,ZHAO Jin-xi.Explanation and analysis on TCM pathology hypothesis micro-zhengjia of diabetic nephropathy[J].China Journal of Traditional Chinese Medicine and Pharmacy,2009(1).
Authors:DING Ying-jun    XIAO Yong-hua  FU Qiang  PAN Li  ZHAO Jin-xi
Institution:DING Ying-jun1,2,XIAO Yong-hua1,FU Qiang1,PAN Li2,ZHAO Jin-xi1(1Key laboratory of Chinese Internal Medicine,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China,2School of Integrated Traditional , Western Medicine,Hebei Medical University,Shijiazhuang 050091,China)
Abstract:By studying the ancient literature and referring to the relevant understanding of modern medicine,combining with clinical practice,we proposed micro-zhengjia TCM pathology hypothesis of diabetic nephropathy.The onset and development causes for Diabetic nephropathy is the delay and the improper treatment of diabetes,which leaded the injury of the yin and qi,the cementation of the sputum,yu,heat and blood stasis in the kidney collaterals which is called micro-zhengjia.Treatment should focus on the general pat...
Keywords:Diabetic nephropathy  Pathology hypothesis  Micro-zhengjia  
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