基于经方治疗消渴病并水肿重症验案举隅

Case Report of Diabetes Complicated with Severe Edema Treated with Classical Chinese Herbal Formulas

糖尿病属于中医学消渴病范畴,是一种累及多个脏腑的疾病,中医学对该病认识较早,且从《内经》《伤寒杂病论》《诸病源候论》《外台秘要》等古籍中,均能读到关于消渴病因、病机、临床特点之详尽论述。中医学以其独特的整体观念、辨证论治的思维方法,结合长久以来对消渴病并发症丰富的诊疗经验,在诸多经典古籍中详尽记录了临床疗效显著的理论和方法,对后世影响巨大。经方治疗消渴病并水肿良方众多,除了真武汤、五苓散、小青龙汤外,还有猪苓汤、防己黄芪汤、苓桂术甘汤、越婢汤、越婢加术汤、实脾散等,历经验证,疗效卓著,体现了中医药理论和实践的精华,活用经方,着实大有裨益。

Diabetes is in the category of xiaoke in TCM,with one or several disorders of zangfu organs involved. This disease has been early recorded in many TCM ancient works, such as Neijing, Shanghan Zabing Lun, Zhubing Yuanhou Lun, Waitai Miyao, in which, the etiology, pathogenesis and clinical characteristics of diabetes are elaborated. On the basis of the unique holistic idea, pattern/syndrome differentiation and the rich experiences in the diagnosis and treatment of diabetes and its complications, the theories and methods that achieved the significant clinical therapeutic effects were recorded clearly in many classical works and greatly influence the later generations. There are many herbal formulas for the treatment of diabetes complicated with edema, such as Zhenwu decoction ,Wuling powder,Xiaoqinglong decoction, Zhuling decoction, Fangji huangqi decoction, Linggui zhugan decoction, Yuebi decoction, Yuebi jiazhu decoction and Shipi decoction. All of those formulas have achieved the extraordinary therapeutic effects ,indicating the values of theories and practice of TCM.