节点文献
汗法在阳虚水泛型糖尿病肾病的应用
The Application of Diaphoresis in Diabetic Nephropathy of Yang Deficiency with Water Retention Type
【摘要】 汗法乃中医八法之首,通过开泄腠理,宣发肺气,使邪气随汗而解,常用于表证。然汗法临证应用广泛,除解表外,在内伤杂病、痰饮、风湿、水肿等疾病中亦有较好效果。阳虚水泛型糖尿病肾病临床多见下肢水肿、气急、胸闷诸症,对于此类患者,在健脾益肾、利湿泄浊等常规疗法基础上,医者常伍少许发汗之品以达到水气随汗而解、消退水肿的作用。临证总以辨证施治为根本,辨清急缓,中病即止,临床亦不可盲目使用汗法。
【Abstract】 Diaphoresis is the first of the eight methods of traditional Chinese medicine. It works by opening and relaxing the interstices of the skin, dispersing and promoting the flow of lung qi, so that pathogenic factors are resolved and expelled with sweat. This method is commonly used for exterior syndromes. However, diaphoresis has a wide range of clinical applications. In addition to treating exterior syndromes, it also yields good results in the treatment of internal injury miscellaneous diseases, phlegm-fluid retention, wind-dampness, edema and other diseases. In clinical practice, diabetic nephropathy of the yang deficiency with water retention type is often characterized by symptoms such as lower limb edema, shortness of breath, and chest tightness. For such patients, on the basis of conventional therapies like invigorating the spleen and kidney, removing dampness and excreting turbidity, physicians often add a small amount of diaphoretic herbs to achieve the effect of resolving water qi through sweat and reducing edema. The fundamental principle in clinical practice is always syndrome differentiation and treatment, distinguishing between urgency and slowness, and stopping treatment once the disease is alleviated. Diaphoresis should not be used blindly in clinical practice.
【Key words】 diabetic nephropathy; yang deficiency with water retention syndrome; diaphoresis; edema; clinical experience;
- 【文献出处】 光明中医 ,Guangming Journal of Chinese Medicine , 编辑部邮箱 ,2025年09期
- 【分类号】R259;R277.5
- 【下载频次】6