SUN Weiwei,CHEN Huixi,HU Yuxin,et al.Difficulties in the Differentiation and Treatment of Diabetic Kidney Disease and Its Clinical Treatment Model[J].Journal of Traditional Chinese Medicine,2025,66(06):569-574.
SUN Weiwei,CHEN Huixi,HU Yuxin,et al.Difficulties in the Differentiation and Treatment of Diabetic Kidney Disease and Its Clinical Treatment Model[J].Journal of Traditional Chinese Medicine,2025,66(06):569-574.DOI: 10.13288/j.11-2166/r.2025.06.005.
Difficulties in the Differentiation and Treatment of Diabetic Kidney Disease and Its Clinical Treatment Model
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.
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