基于伏阳理论探讨线粒体功能障碍在糖尿病肾脏病中的作用机制OA
Exploring the Mechanism of Mitochondrial Dysfunction in Diabetic Kidney Disease based on the Fuyang Theory
糖尿病肾脏病是糖尿病主要且严重的微血管并发症,其核心病理机制与高糖诱导的线粒体功能障碍密切相关.文章立足于中医"伏阳"理论,阐释了糖尿病肾脏病的"伏阳"核心病机.通过阐述线粒体功能障碍在糖尿病肾脏病中的作用机制和其导致的病理损害包括能量供应减少、氧化应激增强、炎症反应和肾纤维化加速与"伏阳"内在机制的关联性,论证线粒体功能障碍是"伏阳"的微观表现,进一步阐释"伏阳"理论的科学内涵,并根据"伏阳"不同阶段提出补益脾肾、解郁清痰、化瘀消癥的治法,以期为中医药防治糖尿病肾脏病提供理论参考和治疗策略.
Diabetic kidney disease(DKD)is a major and serious microvascular complication of diabetes mellitus,and its core pathologic mechanism is closely related to mitochondrial dysfunction induced by high glucose.Based on the theory of"Fuyang"in traditional Chinese medicine,this article explains the core mechanism of"Fuyang"in DKD.By describing the mechanism of mitochondrial dysfunction in DKD and the correlation between the pathological damage caused by mitochondrial dysfunction,including reduced energy supply,increased oxidative stress,inflammation and accelerated renal fibrosis,and the underlying mechanism of Fuyang,it is argued that mitochondrial dysfunction is the microscopic manifestation of Fuyang,and that mitochondrial dysfunction is a key factor in the development of DKD.It is argued that mitochondrial dysfunction is the microscopic manifestation of"Fuyang",and the scientific connotation of the theory of"Fuyang"is further elucidated.According to the different phases of"Fuyang",the treatments of tonifying the spleen and kidney,relieving depression and clearing phlegm,and resolving blood stasis and eliminating symptoms are proposed,to provide theoretical references and therapeutic strategies for the prevention and treatment of DKD by traditional Chinese medicine.We hope to provide theoretical references and therapeutic strategies for the prevention and treatment of DKD in Chinese medicine.
廖冰清;鲁盈;钟瑜
浙江中医药大学中西医结合临床医学院 浙江 杭州 310012浙江省立同德医院 浙江 杭州 310012浙江省立同德医院 浙江 杭州 310012
医药卫生
糖尿病肾脏病伏阳理论线粒体功能障碍
Diabetic kidney diseaseFuyang theorymitochondrial dysfunction
《中医药临床杂志》 2026 (3)
436-440,5
浙江省中医药科技计划项目(2023ZF006)
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