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基于“虚气流滞”探讨糖尿病肾脏病肾间质纤维化的病机特点

Discuss the pathogenesis of renal interstitial fibrosis in diabetic kidney disease based on“deficient-Qi induced stagnation”

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【作者】 程虹张璇王长江邹新蓉王小琴

【Author】 CHENG Hong;ZHANG Xuan;WANG Chang-jiang;ZOU Xin-rong;WANG Xiao-qin;Department of Nephrology, Hubei Provincial Hospital of TCM/Affiliated Hospital of Hubei University of Chinese Medicine/Hubei Academy of TCM/Hubei Key Laboratory of Liver and Kidney Research and Application of TCM;College of TCM, Hubei University of Chinese Medicine;

【通讯作者】 王小琴;

【机构】 湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院/中医肝肾研究及应用湖北省重点实验室肾病科湖北中医药大学中医学院

【摘要】 糖尿病肾脏病(DKD)是终末期肾病的重要原因。肾间质纤维化(RIF)是DKD发展至终末期肾病的必经阶段,其发病机制和病机演变过程十分复杂。本文从中西医角度阐述“虚气流滞”与DKD-RIF的关系及DKD-RIF的病机特点,以“虚气”为本,“流滞”为标,以此确立了补虚通滞的治疗总则。研究表明中药能通过遣方用药治疗DKD-RIF,对延缓甚至阻断DKD向肾纤维化进展具有重要意义,可为DKD-RIF防治提供新视角。

【Abstract】 Diabetic kidney disease(DKD)is an important cause of end-stage renal disease. Renal interstitial fibrosis(RIF)is a necessary stage for DKD to develop into end-stage renal disease,and its pathogenesis is complex. This paper expounds the relationship between“vacuity airflow stagnation”and DKD-RIF from the perspective of traditional Chinese and Western medicine, and the pathogenesis characteristics of DKD-RIF, in which“deficient-Qi”is the ben, and“stagnation”is the biao,and the general treatment principle of tonifying deficiency and clearing stagnation is established. Studies have shown that traditional Chinese medicine treats DKD-RIF through prescription medication, which is of great significance for delaying or even blocking the progression of DKD to renal fibrosis, and can provide a new perspective for the prevention and treatment of DKD-RIF.

【基金】 第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);湖北省自然科学基金创新发展联合基金项目(项目编号:2022CFD136)
  • 【文献出处】 湖北中医药大学学报 ,Journal of Hubei University of Chinese Medicine , 编辑部邮箱 ,2025年01期
  • 【分类号】R259;R277.5
  • 【下载频次】33
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