衡先培辨证论治糖尿病水疱病经验

Experience of HENG Xian-pei on syndrome differentiation and treatment for diabetic hydroa

糖尿病水疱病并非糖尿病常见并发症,目前没有特效的治疗方法,且诸书籍常不提及该并发症,但该病损伤面广,溃破后引起疼痛甚至合并感染,不及时治疗会对患者的身心健康造成极大伤害,患者往往辗转多处求治而疗效甚微。目前认为糖尿病水疱病的发生可能与糖尿病的神经并发症有关,在中医中归属于"水疱"病范围。衡先培教授认为,根据疾病不同阶段的病因病机,临床可大致分为3个不同的证机阶段,即湿浊困脾证,肺失宣降证和气血不足证,主要采用"化湿醒脾""行气利水""补气养血"的治疗法则对其进行辨证施治,在临床中取得良好效果。

Diabetic hydroa is a kind of uncommon complication of diabetes, there is no specific method and many books often fail to mention this disease. However, the damage of the disease is wide, and it can cause pain and even complicated infection and bring great harm to the physical and mental health of the patients if it is not timely treated. Patients often move multiple for seeking treatment but achieve little effect. At present, it is believed that diabetic hydroa may be associated with neurological complications of diabetes, in the traditional Chinese medicine belongs on the scope of ‘blister＇ disease. Professor HENG Xian-pei believes that the basic pathogenesis of diabetic hydroa are ‘syndrome of dampness retaining in spleen＇, ‘syndrome of impaired diffusion and descending of lung qi＇, ‘syndrome of deficiency of both qi and blood＇, and mainly uses the treatment principle of ‘removing dampness for refreshing spleen＇ ‘activating qi for diuresis＇ and ‘benefiting qi and nourishing blood＇, the treatment based on syndrome differentiation achieved good results in clinical.