张发荣教授“益肾和络”治疗老年糖尿病临证经验  

Clinical Experience of Zhang Farong in Treatment of Elderly Diabetes Mellitus

作　　者：张博荀 岳仁宋[2] 陈源 Zhang Boxun;Yue Rensong;Chen Yuan(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,1000532,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610075,China;Shaanxi University of Chinese Medicine,Xianyang,712046,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]成都中医药大学附属医院,四川成都610075 [3]陕西中医药大学,陕西咸阳712046

出　　处：《成都中医药大学学报》2022年第1期57-60,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81774279);四川省科技计划重点研发项目(2018SZ0068)。

摘　　要：老年人在糖尿病患者中占据着很大比例,该类人群的中医辨治思路有着特殊之处。张发荣教授总结老年人体质特点及糖尿病的病变规律,认为老年糖尿病的病机关键在于肾元亏损、络脉失和,当以益肾和络为治疗大法。对于益肾,提出养阴为基础、补阳需审慎、化气乃根本、填精莫强求的治疗原则;对于和络,总结出滋阴清热以护络,活血涤痰以通络,运脾益气以复络的用药经验。Among the diabetic population,the elderly account for a large proportion,and the idea of differentiation and treatment for elderly diabetics has its own particularity.According to the physical characteristics of the elderly and pathological changes of diabetes,Professor Zhang Farong believes that the keys to pathogenesis of this disease are deficiency in Kidney and disharmony in collaterals,which can be alleviated by the therapy of tonifying Kidney and harmonize collaterals.In terms of tonifying Kidney,Prof.Zhang stresses that nourishing Yin is the foundation,while nourishing Yang need to be cautious;transforming Qi is the key,and tonifying essence shall depends on the specific situations.For harmonizing collaterals,Prof.Zhang summes up the experience as follows:nourish Yin and clear Heat to protect collaterals,activate Blood and clear phlegm to unblock collaterals,transform Dampness and benefit Qi to recover collaterals.

关 键 词：老年糖尿病 名医经验 张发荣 益肾和络 

分 类 号：R587.1[医药卫生—内分泌] R249.8[医药卫生—内科学]