摘要
糖尿病(DM)是由遗传和环境因素共同引起的一组以糖代谢紊乱为主要表现的临床综合征。中医认为,本病的病因病机主要是饮食失节,情志和体质因素等导致的阴津亏损,燥热偏胜而发为本病。主要临床表现为:多饮、多食、多尿。导师张兰教授根据中医基本理论结合多年的临床经验认为:糖尿病的发病是肺、脾、肾三脏功能失调,可兼见湿热、血瘀等病理因素。饮食失节是常见病因,肺脾肾虚弱为常见病机。故临床常分为三个证型,即肺胃热盛证、湿热困脾证、气阴两虚兼血瘀证。治疗上从清热利湿,益气养阴入手,结合患者的症状及舌象、脉象灵活辨证,遣方用药,效果显著。
Diabetes mellitus(DM) is a group of clinical syndrome caused by the genetic and environmental and its main clinical manifestation is the derangement of glucose metabolism.Traditional chinese medicine believes the etiology and pathogenesis of DM is that improper diet,imbalance of Qing zhi and different physique and other factors lead to Yin Jin losses and dryness-heat luxuses.And its typical symptoms are polydypsia,polyphagia,polyuria.The author's mentor Professor ZHANG Lan according to the basic theory of traditional chinese medicine and good clinical experience summarized:The maladjustment of lung,spleen and kidney function is the pathogenesis of glycuresis;it may,however,combine other pathological factors such as dampness-heat and blood stasis.Then diabetes mellitus clinically would be divided into exuberant heat in lung and stomach,dampness-heat encumbering the spleen and dual deficiency of Qi and Yin with blood stasis syndrome.With generalsymptom,tongue manifestation and pulse condition of patients,the method of treatment should not only be reducingfever and drain dampness but also tonifying Qi and Yin.The meaningful results emphasised the superiority and distinguishing feature.
出处
《实用中医内科杂志》
2012年第1期31-32,共2页
Journal of Practical Traditional Chinese Internal Medicine
关键词
糖尿病
张兰
辨证
经验
Diabetes mellitus
ZHANG Lan
Syndrome differentiation
Experience