糖尿病合并肺部感染(气虚阳亏证)证治机理探析  

Diagnosis and Treatment Mechanism of Diabetes Combined with Pulmonary Infection(Syndrome of Qi Deficiency and Yang Deficiency)

作　　者：谭为华[1] 邓开钰 黄婉婷 周熙 Tan Weihua;Deng Kaiyu;Huang Wanting;Zhou Xi(Beibei Traditional Chinese Medical Hospital,Chongqing 400700,China)

机构地区：[1]重庆市北碚区中医院,重庆400700 [2]重庆医科大学,重庆401331

出　　处：《中国中医急症》2024年第4期625-628,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市北碚区科学技术局社会事业与管理创新研究专项(2022-27);中国中医科学院“名医传承计划”师带徒人才培训项目重庆第2批。

摘　　要：糖尿病合并肺部感染发病率高、死亡率高,严重威胁患者的生活质量及生命安全。中医目前多从清热或者滋阴角度治疗糖尿病合并肺部感染,但此疗法对一些糖尿病后期合并肺部感染患者疗效欠佳甚至无效,从气虚阳亏的思路治疗糖尿病合并肺部感染可以取得满意的疗效。为此,本文探寻糖尿病后期合并肺部感染(气虚阳亏证)的诊治机理,指出其病机是肺脾肾气阳虚衰,尤以脾最为关键,兼寒饮内伏,治疗核心是扶助阳气以温化促气化,以恢复机体平衡。Diabetes combined with pulmonary infection has a high incidence rate and mortality,which seriously threatens the quality of life and safety of patients.At present,traditional Chinese medicine mostly treats diabetes combined with pulmonary infection from the perspective of clearing heat or nourishing yin,but this treatment is not effective or poor effective for some patients with advanced diabetes combined with pulmonary infection.Treating diabetes combined with pulmonary infection from the perspective of qi deficiency and yang deficiency can achieve satisfactory results.Therefore,it is essential to explore the mechanism of diagnosis and treatment of advanced diabetes combined with pulmonary infection(syndrome of qi deficiency and yang deficiency),and point out that the pathogenesis is the deficiency of qi and yang of lung,spleen and kidney,especially the spleen,as well as cold fluid retained in lung.The core of treatment is to support yang qi,promote qi by warming and dispelling,thus restoring body balance.

关 键 词：糖尿病 肺部感染 气阳虚衰 寒饮 扶阳 温化 

分 类 号：R587.2[医药卫生—内分泌]