从补气论治消渴合并痹证

Discussion on the Treatment of Diabetes and Bi Syndrome Based on Qi Tonification

文章通过对消渴合并痹证各方面的阐述,论证从补气角度治疗该病证的优势及意义。以阐述消渴合并痹证的临床表现及危害为基础,展开论述该病证的病因病机,从而得出结论,该病为虚实夹杂,本虚标实之证。进而论述其基本发病机理为气阴两虚,痰浊瘀血闭阻脉络。引出中医治疗该病证的基本治疗思路为益气养阴,活血化瘀。各代医家应用补气药物占临床应用上的比重及各项研究中治疗该病证中补气药物的频次,从而突出补气药物应用于临床上的意义。得出结论应用补气药物治疗消渴合并痹证具有优势及发展前景。

In the paper,the complicated Bi syndrome of diabetes was explained to verify the advantage and significance in the treatment of the syndrome in view of qi tonification.Based on the explanation of clinical manifestation and hazards of diabetes complicated Bi syndrome,the etiology and pathogenesis on the syndrome was discussed.This disease was the syndrome of mixture of deficiency and excess,in which the root cause was of deficiency and the symptoms were of excess.It was further discussed that the occurrence mechanism of this disease was qi and yin deficiency and blockage of meridians with phlegm and stasis.The basic TCM treatment idea was benefiting qi and nourishing yin and activating blood circulation to remove stasis.Through studying the application percentage of qi tonification herbs in clinic used by medical masters of different dynasties and the use frequency in treatment of this disease,it was discovered that the qi tonific herbs were significant in clinical application.It is concluded that the qi tonific herbs are advantageous and prospective in treatment of diabetes complicated Bi syndrome.