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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”
【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.
【Key words】 Deficient-Qi induced stagnation; Diabetic kidney disease; Renal interstitial fibrosis; Pathogenesis; Traditional Chinese medicine;
- 【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