·130·中国现代药物应用2024年4月第18卷第8期ChinJModDrugAppl,Apr2024,Vol.18,No.8根据“乙癸同源,肝肾同调”论治糖尿病肾病张鑫郭玲何学红【摘要】糖尿病肾病(DKD)病位在肺脾肾,医家大多从脾肾角度入手,以补肾固摄,健脾益气为治疗原则,从肝肾角度治疗本病较少,本文通过从肝肾论治糖尿病肾病。何学红教授认为糖尿病肾病属本虚标实之证,其本在于肝肾的亏虚,其标在于气郁、瘀血及水饮,对肝肾二者关系的把握是临床治疗的关键,二者相互配合互相影响。临床上糖尿病肾病可分为肝肾亏虚证、气郁水停证、瘀血阻络证等不同证型,而针对不同证型需要究其本源,何学红教授以补益肝肾,活血化瘀为治疗原则贯穿始终。本文通过分析何学红教授治疗糖尿病肾病的诊疗思路,从理论依据、治则治法、临证用药等方面进行总结,以期为临床治疗糖尿病肾病提供新的诊疗思路。【关键词】糖尿病肾病；乙癸同源；肝肾亏虚；补肝肾；疏肝；化瘀DOI：10.14164/j.cnki.cn11-5581/r.2024.08.035Treatmentofdiabetickidneydiseasebasedonthetheoryof"YiandKuiDerivedfromtheSameOrigin,LiverandKidneyTreatedTogether"ZHANGXin,GUOLing,HEXue-hong.AffiliatedHospitalofLiaoningUniversityofTraditionalChineseMedicine,Shenyang110033,China【Abstract】Thediabetickidneydisease(DKD)islocatedinthelung,spleenandkidney.Mostdoctorsstartfromtheperspectiveofthespleenandkidney,andtreatthediseaselessfromtheperspectiveoftheliverandkidney.Thisarticletreatsdiabetesnephropathyfromtheperspectiveoftheliverandkidney.ProfessorHeXuehongbelievesthatthetreatmentofdiabetickidneydiseaseisbasedonthedeficiencyoftheliverandkidneyandthestagnationofqi,bloodstasisandwaterretention.Theunderstandingoftherelationshipbetweentheliverandkidneyisthekeytoclinicaltreatment,andbothcooperateandaffecteachother.Clinically,diabetickidneydiseasecanbedividedintodifferentsyndrometypes,suchasliverandkidneydeficiencysyndrome,qistagnationandwaterstopsyndrome,bloodstasisblockingcollateralsyndrome,andsoon.Accordingtotheneedsofdifferentsyndrometypes,itsoriginshouldbeinvestigated.ProfessorHeXuehong'streatmentprincipleistosupplementtheliverandkidney,promotebloodcirculationandremovebloodstasis.ByanalyzingProfessorHeXuehong'sdiagnosisandtreatmenti...
