国医大师邹燕勤从虚、热、湿、瘀论治糖尿病肾病

〔摘要〕 糖尿病肾病为临床常见的糖尿病并发症，本病以蛋白尿为主要临床表现，病程缠绵难愈。国医大师邹燕勤认为糖尿病肾病病性总属本虚标实，以脾肾亏虚为本，湿热互结、瘀血阻络为标。在治疗上以维护肾元为本，同时运用健脾益气、清热利湿、化瘀泄浊等多法同治，临床疗效显著。

〔关键词〕 糖尿病肾病;邹燕勤;国医大师;中医药;临床经验;医案

〔中图分类号〕R256.5       〔文献标志码〕B        〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.04.002

The treatment of diabetic nephropathy by TCM master Zou Yanqin from deficiency， heat， dampness and blood stasis

SHEN Jiali YANG Xiaoyu ZHANG Yingyu CHEN Yanlin YI Lan ZHOU Enchao GAO Kun

（1. The Affiliated Hospital of Nanjing University of Chinese Medicine， Nanjing， Jiangsu 210029， China;

2. Inheritance Studio of Traditional Chinese Medicine Master Zou Yanqin， Nanjng， Jiangsu 210029， China）

〔Abstract〕 Diabetic nephropathy （DN） which is characterized by massive proteinuria is a common clinical complication of diabetes， and the course of disease is lingering and difficult to heal. Traditional Chinese medicine （TCM） master Zou Yanqin believes that the pathogenies of DN is deficiency in origin and excess in superficislity. In detail， the deficiency of the spleen and kidney is taken as the root， damp-heat interaction， blood stasis blocking collateral are taken as standard. Professor Zou proposed that we should first maintain the kidney essence， at the same time， invigorate spleen and Qi， clear heat and dampness， remove blood stasis and reduce turbidity and so on， the clinical effect is remarkable.

〔Keywords〕 diabetic kidney disease; Zou Yanqin; TCM master; traditional Chinese medicine; clinical experience; medical records

糖尿病肾病（nephropathy， DN）是长期的糖代谢紊乱引起的慢性肾脏疾病，是糖尿病严重的微血管并发症，也是导致糖尿病患者死亡的最主要原因。（剩余6056字）