脾瘅从脾论治——王旭教授临床诊治糖尿病前期经验撷萃  

Treating Pidan from the Organ of the Spleen

作　　者：曹燕[1] 王旭[1] 

机构地区：[1]南京中医药大学,南京210046

出　　处：《浙江中医药大学学报》2014年第4期408-410,共3页Journal of Zhejiang Chinese Medical University

基　　金：江苏省"六大人才高峰"项目资助(2010-WSN-206-195);江苏省科技厅自然科学基金项目(BK2011817);国家中医药管理局重点研究室开放课题(YUBJ2011KF-4)~~

摘　　要：[目的]总结王旭教授辨治糖尿病前期的经验。[方法]对糖尿病前期的病因病机、辨治原则、治则进行归纳,并以一则案例分析王旭教授辨治糖尿病前期的特点。[结果]王旭教授临症,将糖尿病前期归属于"脾瘅"范畴,从脾立论,治疗权衡于痰、浊、膏、脂、瘀之间,损其余,补其虚,清其热,消其瘀,平之于权衡,去苑陈莝为其治疗大法,并根据虚、热之偏颇,加减健脾、养阴、和血之品,提出健运脾气可以防糖尿病前期的发生发展。[结论]王旭教授临症将糖尿病前期归属于中医"脾瘅",而从脾论治,临床疗效颇显。[Objective]This paper sums up professor Wang Xu＇s experience of differentiating and treating Pidan. [Methods]Through summarizing professor Wang Xu＇s experience of differentiating and treating principles of prediabetic state, finally we use a case to analyze the specialty of professor Wang Xu＇s differentiating and treating prediabetic state.[Results]When my teacher deals with the clinical symptoms, she always relegates prediabetic state to Pidan. She establishes the theory from the organ of spleen. In the therapy, she confirms the treatment through trading off among the phlegm, the turbid, the lipid and the stagnated blood. The major therapy is damaging the remaining pathogenesis, replenishing the deficiency, clearing the heat, removing the blood stasis, tradding off all kinds of factors. One sentence summing up is removing the pathological and physiological metabolites generating from the body. Also, she applies the traditional Chinese drugs flexibly which can strengthen the spleen, nourish ying, or adjust the blood according to the deficiency and heat which is more obvious. The most importandy, she suggests the theory that strengthening the spleen can prevent the procession of prediabetic state. [Conclusions] When professor Wang Xu deals with the clinical symptoms, she always relegates prediabetic state to Pidan. And she confirms the therapeutic principles rooting in the spleen. Most of all, the clinical therapeutic effect is notable.

关 键 词：糖尿病前期 脾瘅 王旭 经验 

分 类 号：R587[医药卫生—内分泌]