Difficulties in the Differentiation and Treatment of Diabetic Kidney Disease and Its Clinical Treatment Model

VernacularTitle:糖尿病肾脏疾病辨治的难点和临床治疗模式
Author: Weiwei SUN ¹ ; Huixi CHEN ¹ ; Yuxin HU ¹ ; Huijuan ZHENG ¹ ; Yaoxian WANG ¹
Author Information

1. Dongzhimen Hospital，Beijing University of Chinese Medicine，Beijing，100700
Publication Type:Journal Article
Keywords: diabetic kidney disease; internal heat leading to mass; differentiation and treatment model
From: Journal of Traditional Chinese Medicine 2025;66(6):569-574
CountryChina
Language:Chinese
Abstract: Diabetic kidney disease （DKD） is one of the main causes of chronic kidney disease. Both traditional Chinese medicine （TCM） and western medicine have their own advantages in the prevention and treatment of DKD， but there are also many difficulties. By analysis of the difficulties faced by TCM and western medicine in the differentiation and treatment of DKD， based on the theory of "miniature masses in the renal collaterals"， combined with long-term clinical practice， "internal heat leading to mass" is proposed as the core pathogenesis of DKD. Therefore， a trinity model of "disease-syndrome-symptom" for differentiation and treatment of DKD based on the core pathogenesis has been proposed. This model highlights the status of the core pathogenesis of "internal heat leading to mass" in DKD， and conducts a three-dimensional identification from the perspectives of disease， syndrome and symptom， so as to inspire clinical practice.