消渴病瘀热证理论探讨

Study on Stagnant Heat Syndrome of Wasting-Thirst

瘀热病邪既是消渴的重要病因,又是影响消渴病情发展、变化的重要因素,在消渴发病过程中,瘀热作为独立的致病因素,贯穿疾病始终。认为五脏虚损是消渴瘀热证的发病基础,气机失调为发病的重要条件。病机以肝肾亏虚为本,湿浊痰瘀为标。在治疗上需瘀与热兼顾,凉血与散瘀配伍使用是治疗本病的关键。

It is believed that stagnant heat is an important cause of wasting-thirst, and an important factor that influencing the development and changes of wasting-thirst. In the course of wasting-thirst, stagnant heat, as an independent pathogenic factor, runs through the disease. The understanding of the causes of the stagnant heat syndrome of wasting-thirst believes that consumption of five zang-organs is the main cause of the disease, and internal damage caused by the seven emotions and endog enous five pathogenic factors are important pathogenic factors of the disease. The pathogenesis of the disease takes the deficien- cy of liver and kidney as the root factors, dampness, phlegm and blood stasis as the superficial factors. The treatment must give the consideration to both blood stasis and heat, and the combination of cooling blood and dissipating blood stasis is the key for treatment of the disease.