消渴病名解析

To Analyze the Meaning of Consumptive Thirst inTraditional Chinese Medicine

目的:探讨消渴病名含义。方法:采用文献学研究方法。结果:从广义的角度讲一般认为以多饮、多食、多尿、消瘦或尿有甜味为特征表现的病证即是消渴,就其病名而言,从其出现的典型症状出发,狭义的概念则专指口渴。消渴按照病症分类可称为脾瘅、消渴、消谷、消利、渴利;按照病因分类可称为消渴、消瘅、风消、外感三消、内伤三消;按照发病部位分类可称为上、中、下消(三消)、膈消、肾消、肺消、消脾、消谷即中消、消肌即消中、消浊即肾消;按照病机证候分类可称为阴消、阳消。结论:通过明确消渴概念,可系统分析其病因病机、辨证分型,从而为临床治疗提供理论依据。

Objective：To Analyze the Meaning of Consumptive Thirst in Traditional Chinese Medicine.Methods：Use the philological methods.Results：It was general considered that the symptoms like polydipsia, hyperphagia,diuresis,and become thin were Consumptive Thirst. However, it＇ s narrow definition was thirst.Moreover.according to syndrome -classification.it could be classified some designations like the spleen-warm syndrome,consumptive thirst,polyorexia,frequent urination and so on.ln addition, in accordance with causative factors,it could be classified designations like diabetes, emaciation due to emotional upset,exogenous triple diabetes and intralesional triple diabetes.Furthermore,according to pathogenetic location,it could be classified designations like upper diabetes,middle diabetes.renal diabetes,splenic diabetes and so on.The last but not least, in accordance with pathogenesis and syndrome,it could be classified designations like yin diabetes and yang diabetes.Conclusion：It could be provided theoretical foundation to clinical treatment with a rather vague and determinate concept in TCM.