辨体质、辨病、辨证“三位一体”诊疗模式与糖尿病临床实践

Trinity of physique differentiation, diagnosis of disease and syndrome differentiation and clinical practice of diabetes

文章重视体质在疾病发生发展过程中的重要地位,阐述了体质形成的原因,揭示了三阴三阳体质分类及其重要临床意义。还重视辨病在临床诊疗中的重要地位,提出了糖尿病"内热伤阴耗气"基本病机。并重视辨方证,认为辨方证是中医辨证的最佳途径之一,辨方证应与辨体质与辨病机相结合。基于此提出的辨体质、辨病、辨证"三位一体"诊疗模式,用于糖尿病及其并发症的临床,经实践证明,非常切合实用。

It expounded the important position of physique in etiology and process of disease, investigated essence and application of physique in disease control, revealed the classification of physique in three yin three yang. Also it expounded the significance of diagnosis of disease in TCM theory and clinical therapy, then revealed basic pathogenesis of diabetes： damaged yin and qi due to inner heat. Then it discussed the syndrome differentiation in the TCM treatment and suggested that it should combine with physique differentiation and diagnosis of disease. At last it expounded the trinity of physique differentiation, diagnosis of disease and syndrome differentiation in treating diabetes and its complication.