以“糖络病”为糖尿病中医病名的合理性与临床意义  

Analysis of the Rationality and Clinical Significance of Using"Sugar Collateral Disease"as the Name of Diabetes Mellitus in Traditional Chinese Medicine

作　　者：胡诗宛 王思成 赵林华[1] 宋斌 王强 雷烨 张莉莉[1] HU Shiwan;WANG Sicheng;ZHAO Linhua;SONG Bing;WANG Qiang;LEI Ye;ZHANG Lili(Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing,100053;Beijing University of Chinese Medicine;The Third Affiliated Hospital of Zunyi Medical University;Northeast International Hospital;The Second Affiliated Hospital of Shaanxi University of Chinese Medicine)

机构地区：[1]中国中医科学院广安门医院,北京市100053 [2]北京中医药大学 [3]遵义医科大学第三附属医院 [4]东北国际医院 [5]陕西中医药大学第二附属医院

出　　处：《中医杂志》2024年第19期1963-1966,1971,共5页Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金(7244497);中国中医科学院广安门医院临床医学研究中心建设专项(IMS022A036);中央级公益性科研院所基本科研业务费(ZZ16-XRZ-042);中华中医药学会(2023-2025年度)青年人才托举工程项目(CACM-2023-QNRC2-A08)。

摘　　要：从传统中医对“消渴病”的认识,以及现代医学对糖尿病的病因病位、疾病演变规律等方面的认识进行分析,论述以“糖络病”作为中医病名的合理性及临床指导意义,为中医病名的现代化发展提供参考。认为传统中医病名“消渴病”所描述的临床表现仅为糖尿病的某一阶段,难以全面涵盖糖尿病的临床特点。提出以“糖络病”作为糖尿病的中医病名,一方面可以反映糖尿病病性本质,另一方面可体现病位、病机及疾病演变规律,突出并发症危害,有助于临床加深对糖尿病病因、病位的认识,也可引起对该病早期诊断和治疗的重视,有助于提升中医药防治糖尿病的诊疗水平。Based on the traditional Chinese medicine(TCM)'s understanding of consumptive thirst disease and modern medicine's understanding of the etiology of diabetes mellitus and the evolution of the disease,this article discussed the rationality and clinical significance of using"sugar collateral disease"as the name of diabetes mellitus in TCM,to provide a reference for modernization and development of TCM diseases'names.It is argued that the clinical manifestations described in the TCM disease name of consumptive thirst disease are only at a certain stage of diabetes mellitus,and it is difficult to cover the clinical characteristics of modern diabetes mellitus comprehensively.In 2003,academician TONG Xiaolin proposed to use"sugar collateral disease"as the TCM disease name of diabetes mellitus,which on the one hand can reflect the essence of diabetes mellitus,and on the other hand can embody the disease location,disease mechanism and the evolution of the disease,highlight the harms of complications,and serve as a warning for the early diagnosis and treatment of the disease,which can help to enhance the level of diagnosis and treatment of diabetes mellitus in TCM.

关 键 词：糖络病 消渴病 糖尿病 中医病名 

分 类 号：R259[医药卫生—中西医结合]