浅析从“瘀水”论治糖尿病肾脏病

An analysis of treating diabetic kidney disease from “blood stasis and water”

关键词:  瘀水  糖尿病肾脏病  中医经典  临床应用

Key words:  blood stasis and water  diabetic kidney disease  traditional Chinese medicine  clinical application

摘要:

糖尿病肾脏病是糖尿病最严重的慢性并发症之一，积极治疗糖尿病肾脏病对延长患者进入透析前时间，改善患者生活质量有重要意义。“瘀水”理论来源于《黄帝内经》，而“瘀水同病”“痰瘀互结”等系列方药见于《金匮要略》。通过古今文献阅读，文章梳理总结了“瘀水”的理论来源和发展，将《金匮要略》条文中的方药按“瘀水”症状的轻重程度分类，并拓展其临床应用，提出从“瘀水”角度论治糖尿病肾脏病，在不同病变阶段治以“活血、化瘀、通络”。

Abstract:

Diabetic kidney disease is one of the most serious chronic complications of diabetes. Active treatment of diabetic kidney disease is of great significance for prolonging the time before dialysis and improving the quality of life of patients. The theory of "blood stasis and water" comes from Yellow Emperor's Canon of Internal Medicine. The series of prescriptions such as "blood stasis and water are the same disease" and "phlegm and blood stasis are combined" are found in the synopsis of Jingui Yaolue. Through the reading of ancient and modern literature,this paper summarized the theoretical source and development of "stasis and water",classified the prescriptions in the Jingui Yaolue according to the severity of the symptoms of "stasis and water",and expanded its clinical application. It proposed to treat diabetic kidney disease from the perspective of "stasis and water",and treat it with "activating blood circulation,removing blood stasis and smoothing the arteries" in different pathological stages.