基于火下阴承、异病同治探讨张仲景鸡子黄类方在2型糖尿病中的应用  

Application of ZHANG Zhongjing,s Jizihuang(Egg Yolk)Prescriptions in Type 2 Diabetes Mellitus based on the Theory of“Yin Restricts Fire”and“Many Different Diseases can be Treated in the Same Way”

作　　者：黎柳 李鸿 周敏 田娜 周彤艺 刘秀 喻嵘 LI Liu;LI Hong;ZHOU Ming;TIAN Na;ZHOU Tongyi;LIU Xiu;YU Rong(School of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha,410208;The First Hospital of Hunan University of Chinese Medicine)

机构地区：[1]湖南中医药大学中医学院,湖南省长沙市410208 [2]湖南中医药大学第一附属医院

出　　处：《中医杂志》2023年第17期1813-1818,共6页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(U21A20411;82074400)。

摘　　要：2型糖尿病可归属于中医“消渴病”范畴。“火下阴承”源于《黄帝内经》中“君火之下,阴精承之”,而消渴病核心病机及治法与之相契合。张仲景鸡子黄类三方为百合鸡子汤、黄连阿胶汤、排脓散,分散在《伤寒杂病论》不同篇章之中。剖析总结此三方的机理特点,认为符合“火下阴承”的治法特点,契合2型糖尿病之消渴病机。此三方均由鸡子黄不同配伍组成,百合鸡子汤为鸡子黄配伍百合,可治疗2型糖尿病及其合并精神相关疾病;黄连阿胶汤为鸡子黄配伍阿胶、芍药、黄连、黄芩,可治疗2型糖尿病及其合并心肾系统疾病;排脓散为鸡子黄配伍芍药、桔梗、枳实,可用于治疗2型糖尿病并发痈疽。因此,基于“火下阴承”的相关现代研究提出鸡子黄三方在2型糖尿病中的应用,可为临床治疗提供思路。Type 2 diabetes mellitus(T2DM)can be categorized into“xiao ke(消渴)”in traditional Chinese medicine(TCM).The theory of“yin restricts fire”originates from Inner Canon of Yellow Emperor(《黄帝内经》)which states that“yin essence restricts chief fire”,and the crucial pathogenesis and treatment of xiao ke coincide with this theory.ZHANG Zhongjing,s three prescriptions of Jizizhuang(egg yolk)are Baihe Jizizi Decoction(百合鸡子汤),Huanglian Ejiao Decoction(黄连阿胶汤)and Painong Powder(排脓散),which are scattered in different chapters of Treatise on Cold Damage and Miscellaneous Diseases(《伤寒杂病论》).By analyzing and summarizing the mechanism and characteristics of the three prescriptions,it is found that the three prescriptions are in line with the characteristics of“yin restricts fire”and the pathogenesis of T2DM.These three prescriptions are composed of Jizizhuang and differ⁃ent medicinals.Baihe Jizizi Decoction is composed of Jizizhuang and Baihe(Bulbus Lilii),and can be used to treat T2DM and mental diseases.Huanglian Ejiao Decoction is composed of Jizihuang,Ejiao(Colla Corii Asini),Shaoyao(Radix Paeoniae Alba seu Rubra),Huanglian(Rhizoma Coptidis)and Huangqin(Radix Scutellariae),which could be used to treat T2DM and cardiorenal system diseases.Painong Powder is composed of Jizizhuang,Shaoyao,Jiegeng(Radix Platycodonis)and Zhishi(Fructus Aurantii Immaturus),which can be used to treat T2DM and car⁃buncle.Therefore,based on the theory of“yin restricts fire”and“many different diseases can be treated in the same wa”,this paper propose that the three Jizihuang prescriptions could be used in T2DM,which could provide ideas for clinical treatment.

关 键 词：糖尿病 张仲景 百合鸡子汤 黄连阿胶汤 排脓散 火下阴承 

分 类 号：R259[医药卫生—中西医结合]