基于“水气病”理论探讨糖尿病肾病水肿的中医辨证思路
Exploring the TCM Syndrome Differentiation Approach to Diabetic Nephropathy Edema Based on the Theory of “Shui-Qi Disease”

糖尿病肾病作为糖尿病患者最常见的微血管病变，可导致终末期肾脏病，是糖尿病肾病患者死亡的主要原因之一。而中医古籍并无糖尿病肾病病名的记载，其属于中医“消渴”“水肿”范畴。水肿为其最常见的并发症之一，它的出现与肺、脾、肾三脏关系密切，本文基于中医经典“水气病”理论，结合糖尿病肾病水肿的病因病机，探讨其中医辨治思路，提出从肺、脾、肾三脏入手，调理水液代谢，以期为临床治疗提供理论依据和实践指导。
Diabetic nephropathy, as the most common microvascular lesion in diabetic patients, can lead to end-stage renal disease and is one of the main causes of death for diabetic nephropathy patients. However, there is no record of the disease name “diabetic nephropathy” in ancient Chinese medical books. It belongs to the category of “xiaoke” and “edema” in traditional Chinese medicine. Edema is one of its most common complications, and its occurrence is closely related to the three organs of the lung, spleen, and kidney. Based on the classic theory of “Shui-Qi disease” in traditional Chinese medicine and combined with the etiology and pathogenesis of edema in diabetic nephropathy, this article explores the thinking of traditional Chinese diagnosis and treatment, and proposes to start from the three organs of the lung, spleen, and kidney, regulate water metabolism, in order to provide theoretical basis and practical guidance for clinical treatment.