结合消渴理论现代发展探讨张景岳消渴诊疗特色  

Discussion on Characteristics of ZHANG Jingyue’s Diagnosis and Treatment of Consumptive Thirst Combining with Modern Development of Consumptive Thirst Theory

作　　者：李怡梅 李世倩 黄延芹[2] 崔云竹[2] LI Yimei;LI Shiqian;HUANG Yanqin;CUI Yunzhu(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医药大学学报》2021年第3期305-308,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金项目(编号:81603613);泰山学者工程专项经费资助项目(编号:ts201712097)。

摘　　要：结合消渴理论现代发展与研究成果,总结梳理张景岳消渴诊疗特色,并将其概括为以下三点:首倡阴消理论,辨清阴阳虚实;其次是强调内在联系,注重整体辨治;第三是重视培护正气,长于补肾固本。张景岳论治消渴构架清晰,见解独到,对消渴理论现代发展产生了重要影响。具体来说,拓宽了消渴的辨证诊疗思路,使后人论治消渴有章可循;推动了“消渴、消中、消肾”(三消)理论的发展和进步;明确了肾气亏虚的消渴核心病机。Combining with the modern development and research results of consumptive thirst theory,this paper summed up the characteristics of ZHANG Jingyue’s diagnosis and treatment of consumptive thirst,summarized as the following three points:firstly,advocating of Yinxiao theory,distinguishing yin and yang,deficiency and excess;secondly,emphasizing on intrinsic connection,paying attention to overall differentiation and treatment;thirdly,attaching importance to cultivating and protecting healthy qi,being apt at tonifying kidney and consolidating root.ZHANG Jingyue’s theory in treating consumptive thirst is clear and distinctive,and has an important impact on the modern development of consumptive thirst theory.Specifically,it expands the diagnosis and treatment way of consumptive thirst,making rules for later generations to follow,promotes the development and progress of“consumptive thirst,middle consumptive thirst and kidney consumptive thirst”(Sanxiao)theory,and clarifies the core pathogenesis of kidney qi deficiency in consumptive thirst.

关 键 词：消渴理论 张景岳 《景岳全书》 消渴 整体辨治 培护正气 补肾固本 肾气亏虚 

分 类 号：R255.4[医药卫生—中医内科学]