基于气血津液理论谈糖尿病肾脏疾病水肿的治疗思路

气血津液是构成人体生命活动的基础物质,生理情况下津血同源、气血互根,病理状态下津液成水、气血水交阻而为病。糖尿病肾脏疾病水肿发生发展过程中,常常气血津液同时病变。气化不利、水湿内停是糖尿病肾脏疾病水肿的重要环节,微型癥瘕、络脉瘀结是其重要的病理基础,治疗应该在辨证的基础上,补气利水、行气利水及活血利水。其中补气需重用黄芪,调气需通利三焦,活血需重视通络,权衡气血水相关各种因素的盛衰缓急,抓住病机的关键辨证论治。

Discussion on the treatment of diabetic kidney disease edema in traditional Chinese medicine based on the theory of qi,blood and water

Qi, blood and water are the basic substances that constitute the life activities of the human body. Under physiological conditions the three are interdependent and under pathological conditions the three are cross-blocked and become diseases. Edema treatment methods based on the theory of qi, blood and water are scattered in ancient books of traditional Chinese medicine. During the occurrence and development of diabetic kidney disease edema, lesions of qi, blood and water often occur simultaneously. Adverse function of qi, and water dampness are the important link of diabetic kidney disease edema. Microsyndromes and complex stasis are the pathological basis of diabetic kidney disease edema. Treatment should be on the basis of syndrome differentiation, assist and regulate qi, promoting blood circulation and clear wet. Among them, it is necessary to use astragalus, dredge San Jiao and Invigorate collateralization. We should weigh various factors related to qi, blood and water, and grasp the key of syndrome differentiation.