Discussion on the role of latent heat in diabetic kidney disease based on symptomatic treatment based on pathogenesis differentiation
10.3969/j.issn.1006-2157.2024.04.002
- VernacularTitle:基于辨机论治探讨伏热在糖尿病肾脏疾病中的作用
- Author:
Leying ZHAO
1
,
2
;
Zhen WANG
;
Qingqing LIU
;
Danting LI
;
Sinan AI
;
Jiayin TAO
;
Yaoxian WANG
Author Information
1. 北京中医药大学东直门医院 北京 100700
2. 北京中医药大学
- Keywords:
symptomatic treatment based on pathogenesis differentiation;
latent heat causing accumulation;
diabetic kidney disease;
consumptive thirst involving kidney
- From:
Journal of Beijing University of Traditional Chinese Medicine
2024;47(4):454-458
- CountryChina
- Language:Chinese
-
Abstract:
Diabetic kidney disease(DKD)is a severe complication of diabetes.Its incidence increases annually,posing a significant burden on public health.The strategy of symptomatic treatment based on pathogenesis differentiation,focusing on identifying pathogenesis,is particularly meaningful for managing complex and variable chronic diseases like DKD.Within this framework,the state of latent heat persists throughout DKD,with"latent heat causing accumulation"identified as the core pathogenesis affecting and promoting the development and progression of DKD.This paper is centered on the concept of"latent heat causing accumulation"and adopts symptomatic treatment based on pathogenesis differentiation as its guiding principle to explore the role of latent heat in DKD.It highlights that the onset of DKD involves environmental and constitutional pathogenesis associated with"the concealment of latent heat"and"stagnant-heat invading collaterals"as the initial pathogenesis,"latent heat causing accumulation"as the core mechanism,and"secondary turbid heat"as the derivative pathogenesis.These pathogenesis factors collectively influence the symptoms,sequelae,and prognosis of DKD.Moreover,this paper provides commonly used prescriptions for different stages,syndrome types,and complications of the disease,aiming to offer a reference for clinical practice in flexibly addressing changes in disease conditions based on varied pathogenesis.
