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  4. Vol 5, Issue 6, 2023

Discussion on the Application of the Thought of "Chronic Disease Entering Collaterals" in Diabetic Nephropathy

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DOI: 10.23977/medcm.2023.050615 | Downloads: 8 | Views: 311

Author(s)

Feng Tiantian 1, Xiao Yang 2, Wang Likun 1, Yang Hang 1

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China
2 Shaanxi Provincial Hospital of Chinese Medicine, Xi'an, Shaanxi, 710003, China

Corresponding Author

Xiao Yang

ABSTRACT

Diabetic nephropathy (diabeticnephropathy, DN) is one of the most common microvascular complications of diabetes. The main clinical symptoms are varying degrees of proteinuria, edema, hypertension and progressive decline of renal function, and renal failure in the late stage. Diabetic nephropathy belongs to the category of "Xiaxiao", "edema" and "turbid urine" in traditional Chinese medicine, which is also called "Xiaoke nephropathy" in modern medicine. "Long illness entering collaterals" is a treatment thought created by Ye Tianshi, a famous doctor in Qing Dynasty, which clearly puts forward the content of "qi knot in light at the beginning, blood injury in collaterals for a long time". The evolution law of the disease from superficial to deep, from surface to inside, from qi to blood is discussed from different angles. The theory divides collateral disease into deficiency and excess, which is always characterized by collateral stasis, and its main pathological changes are qi stagnation in collaterals, blood stasis or phlegm blockage. And established various methods of Xinwei Tongluo, thus forming a complete theory of collateral disease, creating a precedent for the etiology and pathogenesis of the disease to treat from collaterals. Traditional Chinese medicine classifies diabetic nephropathy as collateral disease, and collateral deficiency and blood stasis is its basic pathogenesis. Blood stasis runs through diabetic nephropathy and is the key factor in the occurrence and development of diabetic nephropathy. This paper discusses its application in diabetic nephropathy from the combination of the thought of "long-term disease entering collaterals" and modern medical micro-syndrome differentiation.

KEYWORDS

Long-term disease entering collaterals; diabetes mellitus; nephropathy; collateral disease; theoretical treatment

CITE THIS PAPER

Feng Tiantian, Xiao Yang, Wang Likun, Yang Hang, Discussion on the Application of the Thought of "Chronic Disease Entering Collaterals" in Diabetic Nephropathy. MEDS Chinese Medicine (2023) Vol. 5: 91-97. DOI: http://dx.doi.org/10.23977/medcm.2023.050615.

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