吴深涛运用当归拈痛汤治疗湿热型消渴病痹症举隅

Clinical Examples of Treating Damp-heat type Diabetes Rheumatism with Danggui Niantong Decoction by WU Shen-tao

吴深涛教授认为湿热型消渴病痹症四肢皮肤均可见灼热疼痛感,严重之处甚至不能接触衣被,触之则皮肉如刀割之痛,伴见皮疹,口干、口苦,腰重酸痛,下肢脚踝部水肿,此为湿热浸于肌肤皮下,并下注足胫。湿则肿,热则痛,足膝肿痛,乃湿热熏蒸。风湿相搏,一身尽疼痛,法当汗出而解;治湿在上在外者当微汗,在下在内者当利小便。选用张元素之《医学启源》当归拈痛汤加减,由中焦脾胃而治之,上下分消其湿热。

Professor WU Shen - tao think that the symptoms of damp - heat type Diabetes rheumatism have limb skin burning pain, with rash, dry mouth, mouth bitter, and heavy ache , Ankle swelling. The rea- son is damp and hot dip in skin subcutaneous, and involves the lower limbs. Wet lead to swell, heat cause pain. Treatment rheumatic pains should use the method of sweating. On the outside shall be slightly sudorifer- ous, the next, the should dieresis. The treatment of the disease are chosen Danggui Niantong decoction, de- rived from ＂ medical cases＂ by ZHANG Yuan - su. The drug through the spleen, eliminate the hot and humid.