“首辨阴阳,再辨六经”论治糖尿病前期医案浅析

Analysis on Medical Record of Distinguishing between Yin and Yang as first and then Differentiating Six meridians to Treat Early Stage of Diabetes

自西汉淳于意创立"诊籍",此后之中医名著皆有散在医案记载,至明清两代已有《名医类案》《续名医类案》等医案专著问世,现代医家更有将临证心得整理成医案传世。《医理真传》指出:"医学一途,不难于用药,而难于识症;亦不难识症,而难识阴阳"。本医案以"首辨阴阳"为纲,以"再辨六经"为目,以"固护阳气"为魂;所用之理,源于《黄帝内经》,以"经"为宗;所用之法,源于《伤寒论》,以"论"为旨;所用方药,源于经方,以经方为范本;此模式可为医案研究开辟新途径。

Case records have been scattered in Chinese Classics since it was created by Chun Yuyi in Western Han Dynasty.During Ming and Qing Dynasty,there existed many monographs on case records such as Classified Case Records of Celebrated Physicians,Sup-plement to Classified Case Records of Celebrated Physicians,etc.There was a famous Chinese physician Zheng Qinan,who reported it was not difficult for a Chinese medical physician to prescribe medication but difficult to differentiate syndromes,and more difficult to dis-tinguish between yin and yang in Essence of Chinese Medical Science.Many modern Chinese physicians have still tried to summarize and hand down their own clinical experiences.The medical record of early stage diabetic cases,which has broken new ground for medical case analysis,has taken distinguishing between Yin and Yang as first and then differentiating Six meridians,where the core is protecting Yang Qi.The theory,principle and prescription of this medical record have been derived from Yellow Emperors,Treatise on Febrile Diseases and other classics.