基于“脾虚致消”理论探讨消渴心病的病机与治疗  

Based on the Theory of"Spleen Deficiency Leading to Elimination"Discussing the Pathogenesis and Prevention of Diabetes Heart Disease

作　　者：张爽[1] 杨宇峰[1] 石岩[1] ZHANG Shuang;YANG Yufeng;SHI Yan(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《实用中医内科杂志》2024年第7期114-117,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科技厅项目(2019JH6/10100009);辽宁省教育厅校际合作项目(2100221206)。

摘　　要：糖尿病心血管病变是糖尿病重要的并发症和主要死因之一,属中医消渴心病范畴。中医认为消渴心病发病的根本病因是脾虚,阴虚燥热是基本病机,心脾两虚是病机关键,痰瘀是重要致病因素。中药复方“益糖康”以健脾为立方之法,在临床取得了良好的疗效,文章基于“脾虚致消”理论对消渴心病的病因病机及治疗进行了论述,以期为中医从脾论治消渴心病提供理论支撑。Diabetic cardiovascular disease is one of the most important complications and causes of death of diabetes.Traditional Chinese medicine believes that spleen deficiency is the fundamental cause of heart disease,Yin deficiency and dry heat is the basic pathogenesis,heart and spleen deficiency is the key pathogenesis,phlegm stasis is an important pathogenic factor.The traditional Chinese medicine compound"Yitangkang"takes spleen strengthening as the cube,and has achieved good clinical effect.Based on the theory of"spleen deficiency causing elimination",this paper discusses the etiology,pathogenesis and treatment of Xiaokeheart disease,in order to provide theoretical support for TCM treating Xiaokeheart disease from spleen.

关 键 词：消渴心病 糖尿病心血管病变 脾虚 痰瘀 从脾论治 病因 病机 益糖康 

分 类 号：R255.4[医药卫生—中医内科学]