栗德林论治糖尿病临床经验  

Experience of professor LI De-lin in treating diabetes mellitus

作　　者：栗明[1] 栗德林[2] 

机构地区：[1]黑龙江中医药大学第一附属医院,哈尔滨150040 [2]黑龙江中医药大学,哈尔滨150040

出　　处：《中华中医药杂志》2008年第4期340-342,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：黑龙江省科技攻关课题(No.GA01C01-02);黑龙江省研究生创新基金课题(No.YJSCX2006-185HLJ)

摘　　要：栗德林教授治疗糖尿病多年,临床经验十分丰富。根据长期临床观察,他认为糖尿病当属中医"消渴"范畴,其有自身的发病规律,即"核心病因病机"。本病的核心病因病机是为五脏柔弱,内热薰蒸,伤津耗气,血稠液浓,瘀阻痰凝则并发冠心病,蓄浊失精则并发。肾病。基于上述认识,栗教授主张辨病与辨证相结合论治糖尿病及其并发症,从而达到提高疗效的目地。具体临证时,栗教授强调辨病论治宜益气养阴扶阳;辨证论治宜扶正祛邪,扶正应注意调理阴阳气血,祛邪应热毒痰湿瘀郁并治;注重健脾益肾并兼顾泻心疏肝、润肺补肺。Professor LI De-lin is sophisticated in the clinical experiences of treating diabetes mellitus （DM）with traditional Chinese medicine （TCM）. Based on clinical observations for many years, the key pathogenesis of DM resulted from internal organs＇ deficiency ,endogenous heat exuberance, liquid and qi＇s consumption as well as blood density and turbid fluid thickness. From the knowledge above, professor LI advocated to treat DM and diseases accompanied by it with the combination of treatment based on disease and syndrome differentiation to improve the curative effects. During the specific treatments, professor LI emphasized that treatment based on disease differentiation should benefit qi ,nourish yin and strengthen yang;treatment based on syndrome differentiation should strengthen vital qi and eliminate pathogenic factor. Strengthening vital qi includes to benefit qi ,nourish blood ,tonify yang and supply yin. Eliminating pathogen includes to treat heat-toxicity,phlegm, dampness and depression at the same time. He advocated firstly to invigorate spleen and kidney, secondly to clear heat fire and disperse stagnated liver qi, lastly to moisten and invigorate lung. We received satisfactory curative effects both on the clinical treatments and experiments in DM and diseases accompanied by it when adopting the TCM methods of treatment based on the theory by Professor LI De-lin.

关 键 词：糖尿病 栗德林 老中医临床经验 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]