经方在糖尿病“郁、热、虚、损”体系中的应用进展  

Application Progress of Classic Prescriptions in the System of“Stagnation,Heat,Deficiency and Damage”of Diabetes Mellitus

作　　者：宋宗辉 谢亚楠 王仃仃 刘禹萱 武琦琪 孙冰[4] SONG Zonghui;XIE Yanan;WANG Dingding;LIU Yuxua;WU Qiqi;SUN Bing(Jining Hospital,Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine,Jining 272002 China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Lvliang People’s Hospital,Lvliang 033099,China;Jining Medical College,Jining 272067,China)

机构地区：[1]中国中医科学院西苑医院济宁医院,山东济宁272002 [2]山东中医药大学,山东济南250399 [3]吕梁市人民医院,山西吕梁033099 [4]济宁医学院,山东济宁272067

出　　处：《山东中医杂志》2024年第12期1438-1444,共7页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金项目(编号:ZR2016HM65);山东省中医药重点学科(中西医结合临床)建设项目(批文号:鲁卫中医药科教字[2020]3号)。

摘　　要：随着现代医学对疾病认识的不断深入,消渴病传统的辨证分型已无法涵盖糖尿病(DM)的全过程。为实现消渴病到糖尿病认识的转变,仝小林院士基于糖尿病的发生、发展及结局完整的时间线提出“郁、热、虚、损”新的分期体系。本文以该体系为纲目,列举了治疗糖尿病的常用经方,即厚朴三物汤、四逆散、大柴胡汤、葛根芩连汤、白虎加人参汤、瓜蒌牡蛎散、金匮肾气丸、抵当汤。现代经方应用在辨证论治的基础上结合现代药理靶点机制,将宏观调态与微观打靶相结合,形成先识病、再分期、后辨证的态靶同调治疗模式。参考文献46篇。With the deepening of modern medicine’s understanding of the disease,the traditional syndrome differentiation and classification of diabetes can no longer cover the whole process of diabetes mellitus.In order to realize the change of understanding from diabetes to diabetes mellitus,academician TONG Xiaolin proposes a new staging system of“stagnation,heat,deficiency and damage”based on the complete time line of the occurrence,development and outcome of diabetes mellitus.Based on this system,this paper lists the commonly used prescriptions in the treatment of diabetes mellitus,namely,Houpu Sanwu Decoction(厚朴三物汤),Sini Powder(四逆散),Dachaihu Decoction(大柴胡汤),Gegen Qinlian Decoction(葛根芩连汤),Baihu and Rensheng Decoction(白虎加人参汤),Gualou Muli Powder(瓜蒌牡蛎散),Jinkui Shenqi Pill(金匮肾气丸)and Didang Decoction(抵当汤).The application of modern classic prescriptions should combine the mechanism of modern pharmacological targets on the basis of syndrome differentiation and treatment,combine macroscopic regulation with micro-scopic targeting,and form a new treatment model of disease identification,stage differentiation,post-syndrome differentiation and state target homology.There are 46 references.

关 键 词：糖尿病 郁热虚损 经方 辨证论治 仝小林 调态打靶 

分 类 号：R563[医药卫生—呼吸系统]