论治糖尿病之“通阳三法”初探

Study on ‘three activating yang methods' in treatment of diabetes mellitus

糖尿病发病率逐年攀升,中国跃居世界首位,给我国带来沉重的经济及社会负担,现己成为业内人士高度关注之课题。中医学认为,阳气虚弱乃糖尿病核心病机,治病当求其本,以扶阳为首务;若论及阳气作用,不止与盛衰有关,更与其运行轨道密切相关;对应《伤寒论》"六经",疏导阳气运行通道之法,可总结为"通阳三法",即通利太阳、通承阳明、通和少阳;通利太阳,旨在通调阳气运行之"水道",从而使阳气封藏有序;通承阳明,旨在通调阳气运行之"谷道",从而使阳气敛降有序;通和少阳,旨在通调阳气运行之"气道",从而使阳气出入有序。

As the incidence of diabetes mellitus （DM） increasing, China had ranked the first in terms of the number, which had imposed a heavy social and economic burden and was paid high attention by insiders. The ＇weakness of yang qi＇ was the core of DM pathology, so activating the yang qi was the primary task in the treatment of DM. The effect of yang qi was concerned not only with the excessiveness and declination of yang qi, but with run yang qi. With reference to 6 channels theory in Treatise on Febrile Diseases, the way to regulate yang qi could be summarized as the ＇three activating yang methods＇： freeing and disinhibiting the greater yang, freeing and coordinating the yang brightness and freeing and harmonizing the lesser yang. The freeing and disinhibiting the greater yang aimed to regulate the channel that yang qi run, so as to an ordered storage of yang qi. The freeing and coordinating the yang brightness aimed to regulate the passage of grain that yang qi run, so as to an ordered restraint and descent of yang qi. The freeing and harmonizing the lesser yang aimed to regulate the passage of qi, so as to an ordered inward and outward movement of yang qi.