林兰教授从心论治糖尿病经验  

Professor LIN Lan′s Thoughts in Treating Diabetes Mellitus from the Perspective of Heart

作　　者：陈玉鹏 汤怡婷 庞晴 杨亚男[1] 吴善瑛 倪青[1] CHEN Yupeng;TANG Yiting;PANG Qing;YANG Yanan;WU Shanying;NI Qing(Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《世界中医药》2024年第4期561-565,571,共6页World Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1704102)——林兰名老中医学术观点、特色诊疗方法和重大疾病防治研究经验。

摘　　要：由于社会老龄化的发展、人们生活水平的提高、工作压力的增加等原因,糖尿病发病率逐年上升,防治糖尿病成为临床治疗的重点与难点。林兰教授基于心的生理特性,结合其长期临床经验,从心阐释糖尿病病机,认为本病因心气郁结而起,心火不降化为火毒而致糖毒性,凸显病情进展,心阳亏虚致痰瘀互结而并发症丛生。治疗上另辟蹊径,以心为切入点,遵循“调神”“调气”“调形”,临证灵活运用清润安神、滋精养神、益气养心、通降心气、活血化痰等法,为中医药治疗糖尿病提供了新思路、新方法。Due to aging development,the improvement of living standards,the increase in work pressure,and other reasons,the incidence of diabetes mellitus has increased year by year,and the prevention and treatment of diabetes mellitus have become the focus and difficulty of clinical treatment.Based on the physiological characteristics of the heart and long-term clinical experience,Professor LIN Lan explained the pathogenesis of diabetes mellitus from the perspective of the heart and believed that the disease was caused by depression of the heart Qi.Heart fire is not reduced but transformed into fire toxin,causing sugar toxicity and promoting the progress of the disease.Heart Yang deficiency leads to phlegm and blood stasis and complications.In the treatment,it is necessary to take the heart as the starting point,follow the three steps of“regulating mind”“regulating Qi”,and“regulating body”,and flexibly use the methods of moistening and calming the mind,nourishing the essence and mind,replenishing Qi and nourishing the heart,invigorating the heart and Qi,activating blood circulation and resolving phlegm,etc.,which provides new ideas and new methods for the treatment of diabetes mellitus with traditional Chinese medicine.

关 键 词：从心论治 脏象学说 @林兰 名医经验 糖尿病 中医药 病因病机 治法 

分 类 号：R249[医药卫生—中医临床基础]