糖尿病肾病蛋白尿中医药治疗

糖尿病肾病中医学统一命名为“消渴病肾病”,在总结临床实践基础上发现消渴病肾病以肾络瘀痹为病机核心,并贯穿于消渴病肾病的始终.而肾元虚损,与湿、热、毒、痰、瘀互结,形成肾络瘀痹的不同特点.早期以阴虚燥热、气阴两虚为主,逐步出现气阴两虚、气虚偏重,或脾肾气虚,甚至出现气虚涉及阳虚之证.消渴病肾病蛋白尿是肾气虚损害的标志,患者蛋白尿量越大,脾肾气虚越明显,随着蛋白尿量越大,水肿显现,脾肾阳虚病机转换越显著.消渴病肾病病机复杂,变证丛生;治疗重在通络保肾;利水消肿注重提壶揭盖、活血利水;病情稳定也需调理脾胃、清理胃肠.形成通络保肾复方系列经验方,中医临床疗效确切.

Treatment of proteinuria of diabetic nephropathy with Chinese medicine

Diabetic nephropathy has found that the core pathogene cal experience. Kidney qi deficie ent features of kidney collateral s （D sis is named by Chinese medicine as wastingthirst nephropathy. The author wastingthirst nephropathy is kidney collateral stasis after summing up clini ncy combined with dampness, heat, toxin, phlegm and blood stasis will lead differ tasis. At early stage there are mainly yin deficiency with drynessheat, dual deft ciency of qi and yin, and then serious qi deficiency or spleenkidney yang deficiency, even yang deficiency. Pro teinuria of wastingthirst nephropathy is a mark of kidney qi deficiency, and as quantity of proteinuria increases, kidney qi deficiency will be exacerbated and edema will appear. The pathogenesis of wastingthirst nephropathy is complicated with various complications. The key points of treatment of wastingthirst nephropathy are freeing col lateral vessels and protecting kidney, inducing diuresis to alleviating edema, and activating blood to induce dieresis. During stable stage, the treatment is to regulate and clear spleen, stomach and intestines. A series of proved formu las for freeing collateral vessels and protecting kidney have reliable curative effects.