基于“气虚生毒”学说论糖尿病的防治

Discussion on Prevention and Treatment of Diabetes Based on the Theory of “Qi Deficiency Leading to Toxin”

糖尿病的病机以阴虚为本,燥热为标,阴虚燥热日久,伤阴耗气,气虚是糖尿病慢性病程中的主要因素,气虚而生的痰湿、瘀血等病理产物留注脉中,诸邪结滞成毒,"气虚生毒"是糖尿病病程迁延难愈、导致全身各个系统器官并发症、致死致残率高、多发生变证和坏证的病理关键。基于"气虚生毒"的认识,临床以益气固肾解毒防治糖尿病肾病,以益气活血解毒治疗糖尿病周围神经病变,以解毒通络治疗糖尿病合并心脑血管疾病,均可取得较好的临床疗效。

The pathogenesis of diabetes regards Yin deficiency as the root cause and dryness-heat as the symptoms. Yin deficiency and dryness-heat with the passing of time will impair Yin and Qi. Qi deficiency is the main factor in the chronic course of diabetes. Blood stasis,phlegm dampness and other pathogenic products produced by Qi deficiency stay and infuse in collaterals. And pathogenic factors compound into toxin. ＂Qi deficiency leading to toxin＂is the key pathogenesis of protracted course of diabetes,leading to the organic complications of each organ in the whole body,high fatality and disability rate and multiple changeable and deteriorated syndromes. Based on the knowledge of ＂Qi deficiency leading to toxin＂,in clinic doctors use the method of tonifying Qi and reinforcing kidney disintoxication to prevent and treat diabetic nephropathy,tonifying Qi and invigorating the circulation of blood disintoxication to treat diabetes peripheral neuropathy,and disintoxication to dredge collaterals to treat diabetes combined with cardiovascular and cerebrovascular diseases. All have achieved good clinical effects.