| 张阳,王琴,朱勤,等.陈洪宇基于“乙癸同源，肝肾共治”理论治疗糖尿病肾病的经验[J].浙江中医药大学学报,2022,46(1):28-32. |
| 陈洪宇基于“乙癸同源，肝肾共治”理论治疗糖尿病肾病的经验 |
| CHEN Hongyu‘s Experience in the Treatment of Diabetic Kidney Disease Based on the Theory of“Yi and Gui Derived from the Same Origin， the Liver and Kidney Treated Together” |
| DOI：10.16466/j.issn1005-5509.2022.01.005 |
| 中文关键词: 肝肾共治 糖尿病肾病 补益肝肾 疏肝调肾 行气利水 活血化瘀 加味桃红四物汤 名医验案 |
| 英文关键词: the liver and kidney treated together diabetic kidney disease tonify and replenish the liver and kidney soothe the liver and regulate the kidney promote flow of Qi and urination promoting blood circulation and removing blood stasis modified Taohong Siwu Decoction proven cases of famous doctors |
| 基金项目:浙江省自然科学基金青年基金项目(LQ19H290005)；杭州市社会发展自主申报项目(20180533B52)；浙江省中医药科学研究基金项目(2018ZA086) |
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| 中文摘要: |
| [目的] 总结陈洪宇教授基于“乙癸同源，肝肾共治”理论治疗糖尿病肾病的临床经验。[方法] 通过跟师临证，整理分析陈师治疗糖尿病肾病的用药经验，从理论依据、治则治法、临证用药特色等三个层面介绍其治疗糖尿病肾病的临床经验，并附一则验案加以佐证。[结果] 陈师认为把握肝肾两者的关系是研究糖尿病肾病的关键，肝和肾生理上相互配合、病理上相互影响；糖尿病肾病可分为肝肾亏虚型、肝郁气滞型、气滞水停型、瘀血阻络型等。针对不同的病因病机，陈师以顾护肝肾阴液为根本大法，以活血化瘀法贯穿始终，立法清晰，辨证准确，用药精准，效果显著。所举验案为瘀血阻络型糖尿病肾病，治宜行气活血、化瘀通络，方选加味桃红四物汤为底，随证加减，疗效显著。[结论] 陈师治疗糖尿病肾病谨守肝肾共治之法，辨证清晰，施药精准，疗效明显，其经验有较高的临床指导意义，值得推广应用。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor CHEN Hongyu in the treatment of diabetic kidney disease(DKD) based on the theory of “Yi and Gui derived from the same origin， the liver and kidney treated together”. [Methods] Through following Professor CHEN’s clinical work， sorting out relevant medical records of DKD， Professor CHEN’s clinical experience in treating DKD was summarized and analyzed from three aspects including theoretical basis， treatment principles and characteristics of clinical medication， with a medical case as evidence. [Results] Professor CHEN believes that grasping the relationship between the liver and kidney is the key to study DKD. Liver and kidney cooperate with each other physiologically and affect each other pathologically. DKD can be divided into liver and kidney deficiency type， liver stagnation and Qi stagnation type， Qi stagnation and water stagnation type， blood stasis and collateral obstruction type， etc. In view of different etiology and pathogenesis， Professor CHEN regards taking care of the liver and kidney Yin fluid as the fundamental method， and adopts the method of promoting blood circulation and removing blood stasis throughout， the therapy is clear， the syndrome differentiation is accurate， the medication is precise， and the effect is remarkable. The case mentioned was of blood stasis and collateral obstruction type DKD. The treatment should be carried out by promoting Qi and blood circulation， removing blood stasis and dredging collaterals. [Conclusion] In the treatment of DKD， Professor CHEN scrupulously adheres to the method of “the liver and kidney treated together”， treatment based on syndrome differentiation， accurate application of drugs， the effect is remarkable， her medication characteristics have high clinical guiding significance， which is worthy of popularization and application. |
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