本文从病因病机、治法方药等方面探析饶向荣教授治疗早期糖尿病肾脏疾病(diabetic kidney disease, DKD)临床经验.饶教授认为,早期DKD患者长期饮食失节,嗜食肥甘醇酒,辛辣香燥之品,使中焦壅实,燥火桀骜,湿热壅滞,进而导致损伤脾肾,气阴两虚,脉络瘀阻等,病机以中焦燥热为核心,并提出"治下消必治中消"的治疗理念.%This article analyzed the clinical experience of Professor RAO Xiang-rong in the treatment of early diabetic kidney diseases (DKD) from the aspects of etiology, pathogenesis and methods of treatment prescriptions. Professor RAO believes that early DKD patients suffer from long-term eating disorders and like to eat high-salt, high-protein, high-fat, and high-calorie food, which results in the occlusion of middle Jiao, unruly dryness fire and retention of damp-heat, and then leads to the damage to spleen and kidney, qi and yin deficiency and blood stasis in meridians. He points out that the dryness-heat of middle Jiao is the core pathogenesis and puts forward the treatment concept of "Treating renal diabetes must first treat gastric diabetes".
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