《外台秘要》论消渴  

The Research into Literature on Diabetes in Arcane Essentials from the Imperial Library

作　　者：张婵娟[1] ZHANG Chan＇juan(Tianjin University of TCM, Tianjin, China, 300193)

机构地区：[1]天津中医药大学,天津300193

出　　处：《河南中医》2018年第4期521-523,共3页Henan Traditional Chinese Medicine

摘　　要：《外台秘要》对消渴的认识,病因病机主要为饮食不节、五脏虚弱、房事过度、服石、外感六淫、山瘴气等导致以肺、胃、肾三脏为主的脏腑机能失调、阴虚燥热、阴液消灼,从而出现以多饮、多食、多尿、消瘦为特征的临床表现;对消渴并发症的认识仅限于提出病名或描述其症状,而未形成系统的理论体系和论治体系;治疗方法以清热、补益为主,辅以健脾利湿,同时兼顾化痰、发散、收涩等法的应用;注重本病饮食起居调养,且药治与饮食调养并重。According to Arcane Essentials from the Imperial Library,the main etiology and pathogenesis of diabetes are improper diet,viscera weakness,excessive sexual intercourse,taking improper mineral medicine,six exogenous factors,mountainous pathogenic air in Southern China,etc.leading to viscera dysfunction involving the lung,stomach and kidney,dryness and heat due to yin deficiency,consuming yin fluid manifested as polydipsia,polyphagia,polyuria,emaciation.In terms of understanding of diabetes complications,the book only gives some disease names or describes their symptoms,and has not formed a theoretical system and treatment system.The treatment focuses on clearing away heat,nourishing deficiency combined by invigorating the spleen and eliminating dampness,resolving phlegm,dispersing stagnation and astringent application.It pays attention to diet,living habits and nourishing according to exact disease,emphasizes both medical treatment and diet regulation.

关 键 词：王焘 《外台秘要》 消渴 消中 内消 肾消 脾瘅 

分 类 号：R249.1[医药卫生—中医临床基础]