软坚散结法治疗中晚期糖尿病肾病

发布时间：2018-06-20 19:55

  本文选题：富碘中药 + 病因病机　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：糖尿病肾病(diabetic kidney disease,DKD),以下简称DKD.属于糖尿病微血管病变范畴,是糖尿病严重并发症之一,为临床常见的继发性肾脏病。富碘中药是指含碘量丰富的中药,其代表为海藻、昆布。常用于治疗甲状腺疾病,鲜少有人提及其在DKD中的使用和作用。导师高天舒教授深受吕仁和教授“微型ve瘕”观点的影响,并在此基础上,认为DKD发病的根源是火热之邪为祸,导致痰浊瘀血,损害肾之络脉,形成“微型ve瘕”。治法当以软坚散结为基础。血瘀证明显者,需要活血化瘀,软坚散结;痰湿证突出者,应该化痰除湿,软坚散结;气滞证为主者,可以理气开郁,软坚散结;水湿证为主者,就要利水祛湿,软坚散结。兼见热象者,佐以清热之法。火热为主者,直需清热降火,软坚散结。海藻和昆布性味都有咸寒,都归肝、胃、肾经,功效都是消痰软坚散结,利水消肿。四气属寒,能发挥清热之效;五味属咸,归经入肾,可以引药入肾,使药力直达病所。导师据此将富碘中药用于中晚期糖尿病肾病的治疗,取得良好的临床效果。
[Abstract]:Diabetic kidney disease (DKD). It belongs to the category of diabetic microangiopathy and is one of the serious complications of diabetes mellitus. It is a common secondary kidney disease. Chinese medicine rich in iodine is a Chinese medicine rich in iodine, which is represented by seaweed and kappa. It is often used in the treatment of thyroid diseases, rarely mentioned its use and role in DKD. Professor Gao Tianshu was deeply influenced by Professor Lv Renhe's idea of "mini ve mass", and on this basis, he thought that the root of the disease was the evil of fire and heat, which caused phlegm and blood stasis, damaged the collaterals of kidney, and formed "mini ve mass". The law should be based on soft consolidation. Blood stasis syndrome obvious, need to promote blood circulation to remove blood stasis, soft strong scattered knot; phlegm dampness syndrome outstanding, should dehumidify phlegm, soft strong loose knot; Qi stagnation syndrome mainly, can regulate Qi open depression, soft strong loose knot; water dampness syndrome mainly, should benefit water dispels dampness, soft strong scatter knot. Also see the heat image, accompanied by the method of clearing heat. Hot-based, the need to clear the fire, soft hard scatter. Seaweed and kelp have salty cold taste, both belong to liver, stomach, kidney meridian, efficacy is dispelling phlegm soft hard scattered knot, water swelling. Four qi is cold, can play the effect of clearing heat; five taste is salty, meridian into the kidney, can lead drugs into the kidney, so that the drug to the disease. Therefore, the Chinese medicine rich in iodine was used in the treatment of advanced diabetic nephropathy, and good clinical effect was obtained.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R277.5
，

本文编号：2045488