Treating diabetic kidney disease based on "using bitter herbs to nourish or purge" theory
10.3969/j.issn.1006-2157.2025.01.001
- VernacularTitle:基于“苦欲补泻”理论论治糖尿病肾脏病
- Author:
Weimin JIANG
1
;
Yaoxian WANG
1
,
2
;
Shuwu WEI
3
;
Jiale ZHANG
1
;
Chenhui XIA
1
;
Jie YANG
1
;
Liqiao SUN
4
;
Xinrong LI
4
;
Weiwei SUN
1
Author Information
1. Dongzhimen Hospital, Beijing University of Chinese Medicine
2. Henan University of Chinese Medicine
3. Guang anmen Hospital,China Academy of Chinese Medical Sciences
4. Cangzhou Central Hospital
- Publication Type:Journal Article
- Keywords:
using bitter herbs to nourish or purge;
kidney dryness;
diabetic kidney disease;
staging-based treatment
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(1):1-7
- CountryChina
- Language:Chinese
-
Abstract:
The Huangdi Neijing proposes the " using bitter herbs to nourish or purge" theory to guide clinical prescription and formulation of herbal remedies based on the physiological characteristics and functions of the five zang viscera, along with the properties and flavors of medicinal herbs. This study explored diabetic kidney disease pathogenesis and treatment based on the " using bitter herbs to nourish or purge" theory. Kidney dryness is a key pathological factor in diabetic kidney disease, and the disharmony of kidney dryness is an essential aspect of its pathogenesis. Strengthening is the primary therapeutic principle, and kidney dryness is a persistent factor throughout the occurrence and progression of diabetic kidney disease. In the early stage, the pathogenesis involves heat-consuming qi and injuring yin, leading to kidney dryness. In the middle stage, the pathogenesis manifests as qi deficiency and blood stasis in the collaterals, resulting in turbidity owing to kidney dryness. In the late stage, the pathogenesis involves yin and yang deficiency, with kidney dryness and disharmony. This study proposes the staging-based treatment based on the " need for firmness" characteristic of the kidney. The aim is to provide new insights for clinical diagnosis and treatment in traditional Chinese medicine by rationally using pungent, bitter, and salty medicinal herbs to nourish and moisturize the kidney. This approach seeks to promote precise syndrome differentiation and personalized treatment for different stages of diabetic kidney disease, thereby enhancing clinical efficacy.
- Full text:2025022115053416127Treating diabetic kidney disease based on “using bitter herbs to nourish or purge” theory.pdf
