吕仁和教授分期诊治消渴病探源

Professor L Renhe's experience for diagnosis,staging and treatment of emaciation-thirst disease

吕仁和教授根据《内经》的相关论述及临床经验,将消渴病按症状特点和病机的演变分为三期:脾瘅期、消渴期及消瘅期。脾瘅期以阴虚为主,治疗以补脾胃、滋阴为主;消渴期以阴虚化热为主,治疗以健脾益胃同时针对不同类型的热证用药;消瘅期久病入络,耗伤气阴、血瘀为主,治疗以调理气血为主,兼补五脏之不足。结合《内经》中对消渴病的论述,探讨吕仁和教授分期诊治消渴病思想的源流。

After linking the theory of Huangdi’s Canon of Medicine with his years’clinical experiences, Professor LRenhe treats emaciation-thirst according to three stages：Pidan stage,Xiaoke stage,and Xi-aodan stage.At Pidan stage,the primary syndrome is yin deficiency,so the therapy is tonifying spleen and stomach and nourishing yin;at Xiaoke stage,internal heat due to yin deficiency should be treated in the way of clearing heat on the basis of tonifying spleen and stomach and nourishing yin;at Xiaodan stage,also the end stage,qi and yin are consuming with blood stasis,so the therapy is recuperating the vitality with invigorating five organs.This article also discuss the origin of LRenhe’s thought by combi-ning the description of emaciation-thirst recorded in Huangdi’s Canon ofMedicine.