基于热邪病机分期论治糖尿病肾病探析
Hunan Journal of Traditional Chinese Medicine(2023)
Abstract
探讨糖尿病肾病(DN)的辨证分期治疗.DN基本病机为本虚标实,以脾肾亏虚为本,湿瘀浊毒为标,热邪贯穿始终;DN不同分期的主要病机从阴虚燥热、气阴两虚到阴阳两虚呈渐进性改变.本文从阴阳寒热辨证角度出发,以热邪为核心,提出治疗DN早期宜清热生津,益气养阴;中期可清热利湿,化瘀通络;后期则凉血降浊,扶正祛毒.上述治疗方法对DN患者蛋白尿和肾功能损伤有望取得更好临床疗效,值得在临床实践中深入研究.
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