吕靖中教授辨证治疗无症状性糖尿病经验

Prof. Lu Jingzhong's Experience on the Treatment of Asymptomatic Diabetes Mellitus

吕靖中教授治疗无症状性糖尿病,强调在中医理论指导下,证前辨治、微观辨治、体质辨治有机结合,三管齐下。处方精炼,力主平和。糖尿病起源、发展实质在于“脾虚”,显证未出现之前,当以健运中宫,理脾为要。结合其微观变化判断“证”的存在,也可根据客观指标,选用相应“有效专药”,但应做到药物四气五味、升降浮沉协调,微观辨证、整体施治。体质不同,用药宜忌亦异,体质辨治,尤为重要。

Prof.Lu emphasized that the treatment of asymptomatic diabetes mellitus (ADM) should be guided by the theory of TCM,and its syndrome differentiation and treatment aiming at prodroma, microcosm and physique should be combined organically. The prescription should be concise and mild in nature.“Spleen deficiency' is responsible for the origin and development of DM.Before the appearance of symptoms, the therapeutic principle should be strengthening of middle-jiao and regulating of the spleen. the microcosmic change should also be considered in syndrome differentiation,and the objective manifestations may be noted for the application of effective drugs. The author also emphasized that the application of drugss should also vary with different physiques.