基于朱丹溪“相火论”辨治糖尿病性骨质疏松症  

Treatment of Diabetic Osteoporosis Based on Zhu Danxi s“Ministerial Fire Theory”

作　　者：钟继富 崔立俊 王兮 赵利婷 刘美琴 杨栋 Zhong Jifu;Cui Lijun;Wang Xi;Zhao Liting;Liu Meiqin;Yang Dong(Shanxi University of Chinese Medicine,Taiyuan 030024,China;Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanxi University of Chinese Medicine,Taiyuan 030013,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]山西中医药大学附属中西医结合医院,山西太原030013

出　　处：《亚太传统医药》2025年第1期58-62,共5页Asia-Pacific Traditional Medicine

基　　金：山西省名中医传承工作室建设项目(SXSMZYGZSB3)。

摘　　要：糖尿病性骨质疏松症是由糖尿病所诱发的一种常见的严重慢性疾病,在中医学上属于“消渴”合并“骨痿”的范畴,目前临床治疗较为复杂。历代中医学家对于DOP的发病机制及治疗方法仍没有形成统一的观点。通过初步论述丹溪相火的含义、生理特性以及相火妄动,以丹溪“相火论”为基础探讨DOP“相火妄动,煎熬真阴”导致肝肾阴虚的发病机制,以补益肝肾、清泻相火为治疗方法,选用地黄汤方合大补丸为基础方加减治疗,为中医探索DOP的发病机制及治则治法提供新的思路。Diabetic Osteoporosis(DOP)is a common serious chronic disease induced by diabetes.It belongs to the category of“diabetes millitus”combined with“osteoporosis”in traditional Chinese medicine,and the clinical treatment is complicated at present.Traditional Chinese medicine scholars have not formed a unified view on the pathogenesis and treatment of DOP.Based on Danxi s theory of“Ministerial fire”,this paper discusses the pathogenesis of liver and kidney Yin deficiency caused by DOP s“Ministerial fire rashly,torment true Yin”,and uses Dihuang Decoction and Dabu Pill as the treatment method.It provides a new idea for Chinese medicine to explore the pathogenesis and treatment of DOP.

关 键 词：相火 消渴 骨痿 肝肾阴虚 

分 类 号：R255.4[医药卫生—中医内科学]