从“神,形,纳,眠,便”初探论治糖尿病

Discussion on diabetes mellitus based on ‘spirit, physique, appetite, sleeping, urine and stool'

糖尿病发病率较高、波及人群广、年龄跨度大、治疗周期长,给我国带来沉重的经济及社会负担,现已引起业内人士高度关注。中医学认为,阴虚燥热乃糖尿病基本病机,养阴清热为其治疗大法,验于临床则疗效不遂人意。于临床中,多饮、多食、多尿及消瘦等典型糖尿病症状并不多见,反多症见:神,神疲乏力;形,形体肥胖,四肢不温;纳,胃纳欠佳,口干多饮,喜饮热汤;眠,不易入睡,易醒多梦;便,大便干结,小便频数;上述症状皆以"阳气不足"为主要病机。经过29年临床实践与科研沉淀,本课题组逐渐摸索糖尿病论治新思路:神、形、纳、眠、便。

Diabetes mellitus （DM） brings a heavy economic and social burden, so it has caused high attention in medical community due to its high incidence, widely spread in the crowd, large age span and long treatment periodicity. Yin deficiency and dryness-heat is the basic pathogenesis of DM in TCM. Nourishing yin and cleating away heat is the main treatment method and the application of experience is not good in the clinical efficacy. Polydipsia, polyphagia, polyuria and weight loss and other typical symptoms of DM are not frequent to see in clinical, but many accompanying symptoms are saw in clinical, such as fatigue, obesity, warm deficiency in all limbs, poor appetite, thirst with desire to heat drink, uneasy to sleep, dream disturb sleep, urination frequently and dry stool. These symptoms begin with ‘yang deficiency＇ as the main pathogenesis. With 29 years＇ clinical practice and scientific research, the team seeks a new evaluation system to treat DM. It includes ‘spirit, physique, appetite, sleeping, urine and stool＇.