从“火”论治糖尿病  

Treating Diabetes from“Fire”

作　　者：邸莎 杨映映 赵林华[1] 仝小林[1] DI Sha;YANG Ying-ying;ZHAO Lin-hua;TONG Xiao-lin(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029

出　　处：《中国中医基础医学杂志》2020年第12期1765-1768,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金重点资助项目(81430097)-“从“菌-毒-炎-糖”致病途径探讨2型糖尿病肠道湿热证证候特点及葛根芩连汤干预机制”。

摘　　要：消渴、脾瘅、消瘅是不同类型或不同阶段糖尿病的中医代名词。故通过分析古文献及当代名家医话,发现不论从何种理论入手,“火”均是导致糖尿病发生发展的主要因素,如脾瘅可由过食肥甘厚味所蕴积的内热所诱发,消渴可由久病阴伤、虚火内灼所致。另外,历代医家治疗消渴病、脾瘅、消瘅其方药亦以养阴、生津、清热为法,或辛凉或苦寒或甘寒或酸寒或咸寒,因此笔者基于“三消当从火断”的理论,结合“脾瘅”“消瘅”学说,提出“糖尿病当从火断”的假说。Consumptive thirst,spleen-heat syndrome,pure-heat dispersion-thirst are terms of traditional Chinese medicine of diabetes in different types or stages.We detected the fire is the main factor leading to the occurrence and development of diabetes,no matter what theory started from,by analyzing ancient literature and medical professional essay from contemporary masters.For example,spleen-heat syndrome can be induced by the internal heat accumulated by overeating and rich taste.Consumptive thirst can be caused by yin impairment because of long illness and deficiency-fire scorch.Otherwise,doctors of all dynasties wrote out prescriptions for nourishing yin,promoting fluid production,clearing heat,or acrid-cool,bit-cold,sweet-cold,acid-cold,salty-cold to treat consumptive thirst,spleen-heat syndrome,pure-heat dispersion-thirst.Therefore,we put forward the hypothesis of“diabetes should be treated from fire”,on the basis of the theory of"Sanxiao should be treated from fire"and the theory of"Pi Dan""Xiao Dan".

关 键 词：糖尿病 消渴 脾瘅 消瘅 火 

分 类 号：R587.1[医药卫生—内分泌]