从“五脏元真通畅”思考消渴病的辨治

Thinking About the Treatment of Diabetes from the "Smooth Primordial Qi of the Five Zang Organs"

消渴的发病与五脏病变皆有关系,不能简单怪责于肺、胃、肾三脏腑。消渴病的发病过程与五脏元真失充不畅关系密切,当五脏元真失充不畅时易发消渴病。采用五脏同调论治,首先从复杂的证候群中抓住病变的脏腑,其次理清心、肝、肺、脾、肾之主次矛盾,并考虑气血关系,从而对五脏调理有一个整体的认识,然后遵循"五脏元真通畅"这一原则综合调治。"五脏元真通畅"除了五脏精气充盈,还需要脏腑气血处于和畅流通的状态,故而治疗消渴病还须调和气血,使"五脏元真"归于"通畅"的状态,才能"人即安和"。

The occurrence of diabetes is related to the pathological changes of the five Zang-organs. so we can not simply think it lies in the lung,stomach and kidney. The pathogenesis of diabetes is closely related to the deficiency of primordial qi of the five- Zang organs which is easy to cause diabetes. Therefore,five-Zang organs should be regulated together. Firstly,we should grasp the diseased viscera from the complex syndromes. Secondly,we should clarify the primary and secondary contradictions of the heart,liver,lung,spleen and kidney,and consider the relationship between qi and blood,so as to have a holistic understanding of the five-Zang organs'conditioning. Then we should follow the principle of " smooth primordial qi of the five-Zang organs" for comprehensive regulation. Besides sufficient primordial qi of the five Zang organs,blood and qi should also be in smooth state,so it is necessary to regulate qi and blood to keep mooth primordial qi of the five-Zang organs. In this way,patients can be peaceful and harmonious.