基于相关指南浅析糖尿病肾脏病高血压中医分期分型论治
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R587.2

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国家自然科学基金资助项目(81774278);北京中医药大学青年教师基金资助项目(2018-JYBZZ-JS065)


A Brief Analysis of Chinese Medicine Staging and Typing of Hypertension in Diabetic Kidney Disease Based on Relevant Guidelines
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    摘要:

    以现代医学指南对糖尿病肾脏病(DKD) 患者最佳血压靶标的共识为降压目标,探究中医相关指南关于糖尿病、糖尿病肾病、高血压等疾病的病因病机及证候分型,并结合临床实践经验,提出糖尿病肾脏病高血压早中晚期证候分型思路:早期肝火上炎证,阴虚阳亢证;中期瘀血内阻证,痰湿内阻证;晚期肾络风动证,脾肾阳虚证。并对相关中药的升压作用进行总结以期对糖尿病肾脏病高血压进行准确辨证施治。

    Abstract:

    Abstract:Taking the consensus of the best blood pressure target for Diabetic Kidney Disease(DKD) patients in modern medical guidelines as the antihypertensive target, this paper explores the etiology, pathogenesis and syndrome typing of diabetes, diabetic nephropathy and hypertension in relevant guidelines of Chinese medicine. Based on clinical experience, this paper also puts forward the idea of syndrome typing in the early,middle and late stages of hypertension in DKD:The early stage:syndrome of liver fire flaming upward,syndrome of yin deficiency with yang hyperactivity;The middle stage: syndrome of internal obstruction of static blood, syndrome of internal obstruction of phlegm- damp; The late stage: syndrome of stirring of wind in kidney collateral,syndrome of spleen-kidney yang deficiency. This paper also summarizes the effect of increasing blood pressure of related Chinese herbs, so as to accurately treat hypertension in DKD based on syndrome differentiation.

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侠晨辉,刘玉宁,朱泽兵,刘伟敬.基于相关指南浅析糖尿病肾脏病高血压中医分期分型论治[J].新中医,2021,53(5):199-204

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  • 在线发布日期: 2021-03-15
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