国医大师吕仁和从“脾常备化”认识糖尿病发病机制  

Study of Diabetes Pathogenesis from"Spleen Governing Beihua"by TCM Master LYU Renhe

作　　者：李金埕 刘尚建[2] 荆鲁[3] 杨俏丽 王紫雯 LI Jincheng;LIU Shangjian;JING Lu;YANG Qiaoli;WANG Ziwen(Beijing University of Chinese Medicine,Beijing China 100029;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing China 100700;Eye Hospital,China Academy of Chinese Medical Sciences,Beijing China 100040)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院,北京100700 [3]中国中医科学院眼科医院,北京100040

出　　处：《中医学报》2021年第8期1679-1682,共4页Acta Chinese Medicine

基　　金：2019年国家重点研发计划“中医药现代化研究”重点专项项目(2019YFC1710101);2019年度北京中医药大学“名医培养计划”人才资助项目。

摘　　要：糖尿病(消渴病)可分为脾瘅期、消渴病期、消瘅期。脾胃的生理功能可归纳为“备化”。脾瘅期为“备化过盛”,消渴期为“备少化多”,消瘅期为“无备无化”。糖尿病的整个发病过程,是以脾热为核心,即从生理的脾常备化状态,发展为备化过盛的脾瘅,再进一步发展为备少化多的消渴病,最终发展至无备无化致五脏皆柔弱的消瘅。当进入并发症时期,则因个体的差异出现心、肾、肺、肝的损伤或兼有多种不同的表现。故临证应始终以恢复“脾常备化”为治疗目的。Diabetes(consumptive thirst)can be divided into the Spleen heat stage,consumptive thirst stage,and diabetes stage.The physiological functions of the Spleen and Stomach can be summarized as"Beihua".The Spleen heat stage is"Beihua excess",the consumptive thirst stage is"Bei deficiency and Hua excessiveness",and the diabetes stage is"Beihua ceased".The entire pathogenesis of diabetes is centered on Spleen heat,that is,from the physiological state of Spleen Governing Beihua,to the Spleen heat stage of Beihua excess,then to consumptive thirst stage of Bei deficiency and Hua excessive,and finally to the diabetes stage of Beihua ceased,which weaken the five Zang.When entering the complication stage,Damage of the Heart,Kidneys,Lungs,Liver would have multiple different manifestations due to the individual differences.Therefore,the purpose of clinical treatment should always be to restore"Spleen Governing Beihua".

关 键 词：糖尿病 脾常备化 脾热 脾瘅 消渴 消瘅 备化过盛 备少化多 无备无化 吕仁和 国医大师 

分 类 号：R249.27[医药卫生—中医临床基础]