基于“间者并行，甚者独行”再论吕仁和教授治疗糖尿病肾脏病经验

Professor LYU Renhe's experience in treating diabetic kidney disease based on “treating main and compicated symptoms when disease being mild while teating main symptoms when dsease being acute”

关键词:  糖尿病肾病  经验传承  名老中医经验  黄帝内经  治则  治法  吕仁和

Key words:  diabetic kidney disease  experience inheritance  old famous Chinese medicine doctor's experience  Huangdi's Canon on Medicine  therapeutic principle  therapeutic method  LYU Renhe

摘要:

吕仁和教授强调临床实践应与经典学习相结合，在糖尿病及其并发症的治疗方面提倡"源于《黄帝内经》，本于临床"。糖尿病肾脏病病机复杂，病情多变，在临床治疗糖尿病肾脏病时，吕仁和教授注重常症与变症的分辨，主张在病情稳定时，应整体把握病情，治疗应标本兼顾、虚实结合；而在病情变化时，应着眼于变症，治疗应标重治标，本重治本。这种根据标本缓急灵活确定治则治法的临证经验颇合《黄帝内经》"间者并行，甚者独行"之意。文章试对吕仁和教授治疗糖尿病肾脏病的经验加以阐述，以飨同道。

Abstract:

Professor LYU Renhe emphasizes that clinical practice should be combined with classic literature studying,and advocated "originating from Huang di's Canon on Medicine and based on clinical practice" in the treatment of diabetes and its complications. Diabetic kidney disease is complicated in pathogenesis and changeable in disease condition. Professor LYU Renhe pays attention to the differentiation between common symptoms and variant symptoms in clinical treatment of diabetic kidney disease,and advocates that when the disease condition is stable,the disease condition should be grasped as a whole,and the treatment should combine the symptoms with the actual situation. However,when the disease condition changes,attention should be paid to the variant symptoms. Treatment should focus on treating the severe symptoms. This clinical experience of flexibly determining the treatment principles and methods according to the priorities of the specimens is quite in line with the meaning of "treating main and compicated symptoms when disease being mild while teating main symptoms when dsease being acute" in Huangdi's Canon on Medicine. This article tries to expound professor LYU Renhe's experience in treating diabetic kidney disease,so as to provide support for his colleagues.