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Analysis on Professor He Liqun’s clinical prescription of diabetic nephropathy#br# |
YUAN Zhongzhao ZHENG Qidan HE Liqun CHEN Gang▲ |
Department of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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Abstract This article records Professor He Liqun’s ideas on clinical diagnosis and treatment of diabetic nephropathy. Professor He believes that the pathogenesis of this disease always belongs to difficiency in origin and excess in superficiality, and deficiency and excess are mixed. The deficiency of spleen and kidney’s qi and yin is the beginning of the disease; after a long time, the yang is damaged from the deficiency of yin; in the middle and late stage, both yin and yang of spleen and kidney are deficient; blood stasis throughout the whole process of diabetic nephropathy. The treatment should be based on the main principles of supplementing qi and nourishing yin, tonifying kidney and warming yang, dispelling wind, activating blood circulation and removing blood stasis. In the early stage, tonifying qi and yin can take care of its origin, and in the middle and late stage, the yang of spleen and kidney should be raised to help its movement. Dispelling wind, activating blood circulation and dredging kidney collaterals should run through the whole treatment process when it takes too long for the course of the disease. With constant changes, combination of disease and syndrome, consideration of both evil and positive, and treatment of both symptoms and signs, we could achieve good results.
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[1] Li Y,Teng D,Shi X,et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association:national cross sectional study [J]. BMJ,2020,369:m997.
[2] Zimmet PZ,Magliano DJ,Herman WH,et al. Diabetes:a 21st century challenge [J]. Lancet Diabetes Endocrinol,2014,2(1):56-64.
[3] 付明月,刘阳,郝珍飞,等.糖尿病肾病中西医治疗及发病机制的研究进展[J].云南中医中药杂志,2021,42(8):91-94.
[4] Moreno JA,Gomez-Guerrero C,Mas S,et al. Targeting inflammation in diabetic nephropathy:a tale of hope [J]. Expert Opin Investig Drugs,2018,27(11):917-930.
[5] American Diabetes Association. Standards of medical care in diabetes 2014 [J]. Diabetes Care,2014,37 Suppl 1:S14-S80.
[6] 付子珊,石岩.消渴病名理论框架研究[J].河北中医,2018,40(8):1259-1262.
[7] 张燕.聂莉芳教授中医辨治糖尿病肾病的经验[J].中国中西医结合肾病杂志,2014,15(9):757-759.
[8] 江旭锋,曾庆春,黄岑汉,等.糖尿病肾病中医病因病机探要[J].河南中医,2016,36(5):924-926.
[9] 张文苑,陈锐.陈锐治疗糖尿病肾病[J].长春中医药大学学报,2019,35(5):828-830,871.
[10] 盛泓沁,王闻婧,杨霓芝,等.杨霓芝教授中医分期辨治糖尿病肾病经验[J].中国中西医结合肾病杂志,2021, 22(6):474-476.
[11] 高俊丽,朱赟洁,王巍巍,等.中医辨治糖尿病肾病的研究进展[J].四川中医,2019,37(1):216-221.
[12] 范婷,杨晓晖,李怡,等.糖尿病肾病的中医临床研究进展[J].北京中医药,2019,38(10):1036-1041.
[13] 陈茂盛.基于病理学分期的糖尿病肾病中医辨证分型研究[J].中华中医药学刊,2016,34(11):2668-2672.
[14] 王杰,何立群.童少伯治疗慢性肾脏病常用药对浅析[J].中华中医药杂志,2021,36(1):240-243.
[15] 蒋微,蒋式骊,刘平.黄芪甲苷的药理作用研究进展[J].中华中医药学刊,2019,37(9):2121-2124.
[16] 田晓玲,华川,左新河,等.补益药黄芪防治糖尿病肾病的应用和研究进展[J].中药材,2021,44(6):1533-1538.
[17] 袁杭海,何立群.何立群治疗肾小管损伤经验[J].河南中医,2017,37(7):1179-1181.
[18] 王婷婷,柳红芳.基于阴阳精气、命门学说的张景岳补肾治法特点[J].现代中医临床,2018,25(2):42-45.
[19] 蒋春波,孙伟.初探《伤寒杂病论》治疗肾系水肿病用药规律[J].中国中医药信息杂志,2008,15(2):89.
[20] 巩振东,李翠娟.中医对糖尿病肾病水肿病因病机及治法的认识[J].中医学报,2016,31(4):494-498.
[21] 白宇,贺云,杨丽霞.活血化瘀类中药治疗糖尿病肾病机制的研究进展[J].中国实验方剂学杂志,2018,24(23):200-206.
[22] 李志燕.早期糖尿病肾病水肿中医治疗临床分析[J].内蒙古中医药,2012,31(23):56-57.
[23] 黄林根.桂林古本《伤寒杂病论》六淫病证治研究[D].杭州:浙江中医学院,2005.
[24] 陈俊利,杨康,裴明,等.藤类药在慢性肾脏病中的应用现状[J].中国中西医结合肾病杂志,2021,22(6):550-553.
[25] 陈茂盛.《内经》水肿论治探究[J].中华中医药学刊,2011, 29(6):1422-1423.
[26] 孙玉霞,黄迪,李林,等.糖肾宁方对早期糖尿病肾病患者尿蛋白及尿足细胞的影响[J].时珍国医国药,2017, 28(4):778-780.
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