糖尿病现代中医创新病机辨析  

Analysis of Innovative Pathogenesis of Diabetes in Modern Traditional Chinese Medicine

作　　者：张惜燕 胡勇 邢玉瑞[1] ZHANG Xiyan;HU Yong;XING Yurui(Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,咸阳712046

出　　处：《世界中医药》2022年第4期512-515,共4页World Chinese Medicine

基　　金：国家重点基础研究发展计划(“973”计划)项目(2013CB532002);陕西中医药大学学科创新团队项目(2019-YL01)。

摘　　要：糖尿病与消渴二者各自有其限定的内涵与外延,临证诊治亦应有所区分。糖尿病的中医病机创新研究近年取得了较大进展,表现为病因多样、病位全面、病性细化3个方面。糖尿病之病因,包括六郁(火、气、湿、瘀、食、痰)、糖毒、浊毒、甘邪等;病位按照病程进展,有病在五脏与病在络脉之分;病性已不单纯局限于“阴虚”和“燥热”,而是扩展为气阴两虚、阳虚阳亢、虚气留滞、气虚化毒,以及阴火内盛、壮火少火等。各创新病机看似矛盾,实则统一于“虚”和“火”。通过对糖尿病现代中医病机的全方位剖析,为提高临床疗效提供有益指导。Diabetes and consumptive thirst have their own limited connotation and extension,diagnosis and treatment of temporary certificate should also be distinguished.In recent years,great progress has been made in the study of pathogenesis of diabetes in traditional Chinese medicine(TCM),which is manifested in 3 aspects:multiple etiology,comprehensive disease location and detailed disease nature.The etiology include fire,qi,dampness,blood stasis,food,phlegm,sugar toxin,turbid toxin,GanXie,etc.According to the progress of the disease course,the location of diabetes are five zang viscera and collaterals.The diabetes mellitus is not only limited to“yin deficiency”and“dry heat”,but also develops into deficiency of both qi and yin,yang deficiency and yang hyperactivity,stagnation of deficiency qi,deficiency of qi and resolving toxin,as well as excessive yin and fire in internal exuberance,strengthening and lessening fire etc.The innovative pathogenesis seems to be contradictory,but in fact unified on“deficiency”and“fire”.It provides useful guidance for improving the clinical efficacy through the comprehensive analysis of the pathogenesis for diabetes in TCM.

关 键 词：糖尿病 创新 病机 病因 六郁 络脉 虚 火 

分 类 号：R228[医药卫生—中医基础理论] R255.4[医药卫生—中医学]