通因通用法治疗消渴病多汗证  

General Prescription for the Treatment of Diabetes

作　　者：杜慧玉 王莉[2] DU Hui-yu;WANG Li(Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning Province,110032 China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning Province,110032 China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110032 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《糖尿病新世界》2020年第2期196-198,共3页Diabetes New World Magazine

摘　　要：消渴病多汗证属于西医中糖尿病泌汗异常症的范畴,是糖尿病最常见的并发症之一。消渴病患者多随病情进展后或确诊时出现汗出过多,给生活带来困扰,也给年轻患者带来精神压力。中医治疗汗证多认为阳虚自汗,阴虚盗汗而忽略消渴病患者病机复杂,阴阳失衡,营卫不调,临床单纯应用补法疗效不佳或病反加重。有幸跟随第四批全国中医临床优秀人才计划中的名医出诊学习,业余时间加入建设名老中医工作室项目,整理名老中医临床医案,总结其宝贵经验,收货颇丰。余观近代多数医家认为通因通用法多为汗法,其只适用于治疗下利、崩漏、腹泻等症,然而跟随名医学习及整理名老中医中发现,医家认为凡以疏和气血,调和营卫为目的,均可认为是通法。翻阅资料及跟诊学习,临床观察多数消渴病患者以阳虚为本,阴虚内热为标,脏腑失于滋养,气血不运,气滞血瘀,或不循常道,留而成痰成瘀。痰、瘀之邪伏而熏蒸阴液,迫津外泄,因此单纯固表止汗效果不佳。根据消渴病临床病因将消渴病多汗证患者大致分为3型,分别为脾虚湿盛型、湿热内蕴型、痰凝血瘀型,分别通过燥湿健脾,温阳散寒、清热化湿、化痰活血,扶正祛邪等方法,临床效果颇佳。有幸跟从名老中医学习,将其宝贵经验总结如下,希望能够领会其深意,传其精髓。The syndrome of hyperhidrosis of diabetes is one of the most common complications of diabetes in Western medicine.Patients with diabetes have more sweating after the disease progresses or when they are diagnosed,which brings trouble to life and brings mental stress to young patients.Traditional Chinese medicine treatment of sweat syndrome is considered to be YANG deficiency and spontaneous sweating,YIN deficiency and night sweats,and neglecting the complicated pathogenesis of patients with diabetes.The YIN and YANG imbalance,the camp was not adjusted,and the clinical application of supplementation was not effective or the disease was aggravated.I was fortunate enough to follow the famous doctors in the fourth batch of national excellent TCM clinical talents program to make house calls,and to join the construction of famous TCM studio project in my spare time,to sort out the clinical cases of famous TCM,summarize their valuable experience,and gain a lot of benefits.In modern times,most medical experts believed that the common method was mainly perspiration method,which was only suitable for the treatment of hypoxia,avidosis,diarrhea and other diseases.However,it was found in learning from famous doctors and arranging famous old Chinese medicine doctors believed that the common method could be regarded as the common method for the purpose of thinning qi and blood,harmonizing ying and defending.According to the data and clinical study,clinical observation is that most of the patients with diabetes are based on Yang deficiency,and the internal heat of Yin deficiency is the standard.Phlegm,blood stasis and fumigate Yin liquid,forced fluid leakage,so simply solid table antiperspirant effect is not good.According to the clinical etiology of diabetes,the patients with diabetes hyperhidremia syndrome were divided into three types,namely,spleen deficiency and dampness,dampness-heat intrinsic type,and spittostasis and blood stasis type.The methods of dryness and dampness strengthening the spleen,warming the Yang and dispell

关 键 词：消渴病 汗证 通因通用法 

分 类 号：R249[医药卫生—中医临床基础]