糖尿病(消渴)的中医证候病机研究

Probing into the Pathogenesis and Syndrome of the Diabetes in TCM

目的:探讨糖尿病(消渴)的中医证候病机。方法:采用文献学研究方法。结果:现代中医将糖尿病归属于"消渴"范畴,其认识与西医有所不同。经研究认为气阴两虚、津液耗伤是糖尿病发生的根本,肺燥、脾胃湿热、肾虚是糖尿病发生的关键,气阴两虚日久,导致血瘀蕴聚败而成毒是导致糖尿病并发症的重要基础。分析本病临床辨证有气阴两虚,气虚血瘀,肺燥津亏、阴虚火旺,肺胃热盛,脾虚痰湿,肾阴虚,肾阳虚,肾阴阳两虚等多种证型。其证型又有主次之分,且有血瘀、痰湿、毒等兼证。结论:临床应重视辨证施治,针对不同证型加减选用有效方药,其预防当以保精养津为其根本要义,尤其在中年时期更是如此。

Objective：Probing into pathogenesis and syndrome of the diabetes in TCM.Methods：To adopt the philological research method.Results：Medern traditional chinese medicine believed that diabets was the equal of emaciation-thirst disease of TCM,so was different from western medicine.First,the pathogenesis of the diabetes was deemed to body fluid being damaged.Second,the lung-dryness,the spleen-stomach dampness-heat and suffer from a deficiency of the kidney played important role leading to diabetes,moreover,we considered that a foundation of incident rate of diabetes caused by qi deficiency to blood stasis.Third,the clinical pattern involved deficiency of both vital energy and yin,qi deficiency to blood stasis,lung dryness and etc.Therefore,should bolt to the bran of pattern of syndrome,and some accompanying symptoms such as blood stasis,phlegmatic hygrosis,poison and etc.Conclusion：According to syndrome differentiation adopting different treating should be much accounted of,and adopting medicine also directed towards syndrome differentiation.Finally,complications set in,when ascribed collateral invaded by prolonged illness.To sum up,to invigorating yin and promoting the production of body fiuid were the basic meaning of preventing disease in middle age.