调肝活血法治疗糖尿病探讨  

Treating diabetes with the method of regulating the liver function to activate blood flow

作　　者：李瑾[1] 王思明[2] 史秀珍 

机构地区：[1]临沂市中医医院,山东临沂276002 [2]烟台解放军107医院,山东烟台264000 [3]淄博市皮肤病防治所,山东淄博255300

出　　处：《山东中医杂志》2000年第8期451-452,共2页Shandong Journal of Traditional Chinese Medicine

摘　　要：肝脏功能的改变与糖尿病的发生发展有着密切的联系，长期的精神刺激导致情志失调，精神抑郁，使肝失疏 泄，气郁化火，火灼阴津或肝主流泄太过，肾主封藏失职，导致火炎于上，津液泄于下，从而导致糖尿病发生发展。肝的功 能失调还可通过影响肺、胃（脾）、肾的功能来引发“三消”之症。而糖尿病病情迁延不愈，气郁日久，气滞血瘀或气郁化火， 火灼阴津日甚致机体正气虚弱又可加重糖尿病病情并引发其并发症的发生发展。故临床上治疗糖尿病从调肝活血入手， 适当配合润肺、理脾、滋肾之法，可取得较好的疗效，并在预防和治疗糖尿病并发症方面起着不可忽视的作用。The transformation in the liver's function is closely related to the occurence and development of diabetes. The extended time of spiritual stimules results in emotionol disorder or distress,thus creating the liver's dysfuntion in purging, a fever due to emotiond distress, and the liver's dysfunction in essence - storing. All this gives rise to the fact that the fire flares up while the body fluid purges down,which is one of the pathogenic factors for the occurance of diabetes. The liver's dysfunction may further affect the functions of lung, stomach and kidney,hence causing three types of diabetes. In addition,the extended delay for the treatment of diabetes or inability to cure it,as well as blood stasis due to stagnation of QI, may worsen the morbid condition of diabetes and accelerate its development clinically,when it comes to treating diabetes, we customarily adopt the method of regulating the liver to activate blood flow in addition to moistening the lung and nourishing the kidney and this has achieved a perfect effect,having a great impact on the prevention and treatment of diabetes and its complications.

关 键 词：糖尿病 情志失调 调肝活血法 中医药疗法 病机 

分 类 号：R255.405[医药卫生—中医内科学]