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刘光珍运用泻肾法治疗糖尿病肾病经验

LIU Guangzhen′s Experience in Treating Diabetes Kidney Disease with Draining Kidney Method

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【作者】 张海生兰晋杰刘光珍

【Author】 ZHANG Haisheng;LAN Jinjie;Shanxi University of Chinese Medicine Affiliated Hospital;Shanxi University of Chinese Medicine;

【通讯作者】 张海生;

【机构】 山西中医药大学附属医院山西中医药大学山西省中医药研究院

【摘要】 总结刘光珍教授运用泻肾法治疗糖尿病肾病的临证经验。以肾实理论为指导,认为糖尿病肾病的基本病机为浊邪兼夹湿瘀毒戕害肾脏,治疗当以泻肾法为要,并据此提出泻肾行气蠲浊法,自拟双五蠲浊汤作为基本方。同时针对浊邪夹湿、浊邪夹湿化热、浊毒入脑、浊邪夹瘀四种复合病证,在双五蠲浊汤的基础上随证灵活配伍利湿、凉血、化瘀、解毒等药物,拟定了三五蠲浊汤、复方蛇龙胶囊等方剂分消肾邪,促进疾病向愈。

【Abstract】 This paper summarized professor LIU Guangzhen′s experience in treating diabetes kidney disease(DKD) with kidney-draining method. Guided by kidney excess theory, it is believed that the basic pathogenesis of DKD is turbidity complicated by dampness stasis toxin damaging the kidneys. The treatment should primarily focus on draining the kidneys, and accordingly, a method of draining the kidneys, promoting circulation and clearing turbidity has been proposed, with self-made Shuangwu Juanzhuo Decoction (双五蠲浊汤) taken as the basic formula. Meanwhile, for the four compound syndromes which were turbidity pathogen complicated by dampness, turbidity pathogen complicated by dampness transforming into heat, turbidity toxin invading the brain, and turbidity pathogen complicated by stasis, medicinals that can drain dampness, cool blood, dissolve stasis and resolve toxins can be flexibly used based on Shuangwu Juanzhuo Decoction according to the syndromes, and Sanwu Juanzhuo Decoction (三五蠲浊汤), Fufang Shelong Capsules (复方蛇龙胶囊) and other formulas were suggested for dispersing kidney pathogen, thereby promoting the recovery of the disease.

【基金】 国家中医药管理局全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)
  • 【文献出处】 中医杂志 ,Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2025年01期
  • 【分类号】R249;R259;R277.5
  • 【下载频次】135
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