服气辟谷术防治消渴病上消之管见

On Abstinense from Cereals with Inspiration and Expiration Method for the Prevention and Treatment of Consumptive Thirst

服气辟谷术可以通过辟谷少食来适当控制食物的摄入、限制肥甘厚味之品,调节饮食可以降低消渴发病率;通过服气吐纳,不仅可直补肺气,通调气机,直接针对上消之病位及病机,还能疏通气血、调整脏腑机能。食饵药物大多具有滋阴润燥,益气生津之功,可以弥补糖尿病之气阴两虚。若说服气、药饵是补,那么辟谷则是泻,是清肠,是朱丹溪所谓之"倒仓",二者结合,可达到补泻相兼,泻有余而补不足。总之,服气辟谷法通过服气、辟谷以及辅助食饵3个方面,直指消渴病上消之病机,对该病的防治提供新的思路及方法。

Abstinense from cereals with inspiration and expiration method refers to control the intake of food especially the intake of fatty and greasy food to reduce the incidence of consumptive thirst. With inspiration and expiration,lung qi can be tonified and qi movement can be regulated,which directly targets to the disease location and pathogenesis and simultaneously unblocks the qi and blood flow,regulates the visceral function. Besides,most drugs taken in three meals have the actions of nourishing yin and moistening dryness,benefiting qi and generating body fluid,which corresponds to the basic pathogenesis of both qi and yin deficiency of diabetes. If inspiration and expiration and medicated diet pertain to tonification,abstinense from cereals pertains to purgation. The combination can achieve the effects of simultaneous tonification and purgation,purging the surplus and tonifying the deficiency. Abstinense from cereals with inspiration and expiration method directly targets to the cause and pathogenesis of consumptive thirst of dominant upper consumption,which provides new ideas and methods for the prevention and treatment of this disease.