基于阴虚生“瘀”理论探讨气阴两虚夹瘀证2型糖尿病的病机及治疗  

Based on the Theory of"Stasis"of Yin Deficiency,the Pathogenesis and Treatment of Type 2 Diabetes Mellitus With Qi and Yin Deficiency were Discussed

作　　者：陈琳 唐爱华[2] 王振刚[2] 欧少甫 胥怡帆 周烨鑫 CHEN Lin;TANG Aihua;WANG Zhengang;OU Shaofu;XU Yifan;ZHOU Yexin(Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China;The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530023,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《实用中医内科杂志》2024年第1期68-70,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广西壮族自治区卫生健康委员会广西医疗卫生适宜技术开发与推广应用项目(S2019024)。

摘　　要：2型糖尿病可归为中医学中“消渴病”的范畴,其基本病机为“阴虚内热”。其中又以“阴虚”为本,病位在五脏六腑,脏腑因“虚”而生内热,“壮火食气”,热气在内耗伤津液,则阴津虚少,气血不利而涩,便易致瘀血形成壅遏周身各条络脉,而出现口干、口苦,多饮,过食,形体消瘦,舌质多淡红或暗红,苔少,脉多沉细数或细涩等一系列临床表现,发为“消渴”,多辨证为气阴两虚夹瘀证。所谓“法随证立”,当养阴以清内热,益气以补脏腑之虚损,气又可生津、化津,以滋补津液的耗伤,活血以“去宛陈莝”,宛莝得除之则新血生,使道路散而不结,气血利而不涩。因此,以益气养阴、活血化瘀为治法,针对气阴两虚夹瘀证2型糖尿病的辨证论治也相应而生。近年来,有研究明确提出阴虚生“瘀”理论,阴虚与火热之间彼此关联,阴虚而生内热,热伤气阴,阴虚生瘀的病机变化是“消渴病”形成的不可忽视的因素,文章主要通过探讨“火热伤阴”→阴虚生“瘀”理论在气阴两虚夹瘀证2型糖尿病的病机转变,为采用益气养阴活血法治疗气阴两虚夹瘀证2型糖尿病提供理论依据及扩展新思考。Type 2 diabetes mellitus can be classified as the category of“Xiaoke disease”in traditional Chinese medicine,and its basic pathogenesis is“yin deficiency and internal heat”.Among them,“yin deficiency”is the basis,and the disease is located in the five zang-organs and six fu-organs.The zang-organs are internally heated due to“deficiency”,and“strong fire eats qi”.The heat qi consumes the body fluid in the body,and the yin deficiency is less,and the qi and blood are unfavor-able and astringent.It is easy to cause blood stasis to form a series of clinical manifestations,such as dry mouth,bitter mouth,polydipsia,overeating,emaciation,pink or dark red tongue,less moss,heavy or fine or fine pulse,etc.,which is called“Xi-aoke disease”.The so-called“method is established according to the syndrome”,when nourishing yin to clear internal heat,replenishing qi to tonify the deficiency of zang-fu organs,qi can produce fluid and dissolve fluid,which has nourished the con-sumption of fluid,and promoting blood circulation to“remove the stale and stale”.When the stale and stale are removed,the new blood will be born,so that the road will be scattered without knot,and the qi and blood will be beneficial without astringen-cy.Therefore,with the treatment of tonifying qi and nourishing yin,promoting blood circulation and removing blood stasis,the dialectical treatment of type 2 diabetes mellitus with deficiency of both qi and yin and blood stasis syndrome is also born accord-ingly.In recent years,some studies have clearly put forward the theory of“blood stasis”caused by yin deficiency.Yin deficiency and fire heat are related to each other.Yin deficiency causes internal heat,heat injures qi and yin.The pathogenesis change of yin deficiency and blood stasis is a factor that cannot be ignored in the formation of“Xiaoke disease”.This paper mainly discus-ses the pathogenesis change of“fire heat injures yin”→“blood stasis”caused by yin deficiency in type 2 diabetes mellitus with qi and yin de

关 键 词：阴虚生瘀 火热伤阴 2型糖尿病 病机 

分 类 号：R255.4[医药卫生—中医内科学]