从“阴火论”探析脆性糖尿病中医证治

Enlightenment of Yin Fire Theory on the TCM Treatment of Brittle Diabetes

[目的]探讨脆性糖尿病与阴火之间的关系,以期更全面地认识脆性糖尿病,拓宽临床诊治思路,提高临床疗效。[方法]系统整理阴火学术理论,从学术渊源、病因病机、临床表现等方面,对阴火理论的论述进行归纳总结,进而对脆性糖尿病与阴火之间的关系进行阐述,并提出治疗法则和方剂。[结果]李东垣阴火理论最早源于《黄帝内经》。劳倦过度、精神压力、饮食不节等为阴火产生常见因素;阴火产生的病机是脾胃虚弱,清阳不升,湿浊下注,相火内生。脾胃元气不足是消渴病形成的始动原因,阴火正是血糖波动的重要原因;脆性糖尿病治宜补中益气、升举精微、泻阴火,由东垣清暑益气汤化裁来的十味平糖方治疗脆性糖尿病取得不错疗效。[结论]阴火理论对糖尿病尤其脆性糖尿病有重要的临床意义,从阴火论治脆性糖尿病为临床证治脆性糖尿病提供了新的思路和方法。

[Objective] To explore the relationship between brittle diabetes and yin fire, so as to more comprehensively understand fragile diabetes from TCM, broaden the clinical diagnosis and treatment, and improve the clinical curative effect. [Methods] The theory of yin-fire theory was summarized, and the relationship between brittle diabetes and yin-fire was expounded from the aspects of academic origin, pathological basis, clinical manifestation and so on, proposed treatment principles and prescriptions.[Result] The yin fire theory originated from Nei Jing. Yin and yang do not rise, wet muddy bets, endogenous fire, the fire is too weak. Fever is the reason for the formation of diabetes, Yin fire is an important reason for fluctuations in blood sugar; brittle diabetes expelling Bu Zhong Yi Qi, lifting fine, Xie Yin fire, from Dongyuan Qingshu Yiqi Decoction to the treatment of fragile diabetes sugar made a good effect. [Conclusion] The theory of yin fire has important practical significance for diabetes, especially brittle diabetes. It is a new idea and method to treat brittle diabetes by the thought and method.