国医大师段富津教授辨治消渴验案浅析

Prof. Duan Fujin's experiences in treatment of diabetes

消渴是以多饮、多食、多尿,即所谓上、中、下"三消"之症候群,或伴有体重减少,尿浊、尿有甜味为特征的一类病症。中医认为消渴病因主要有以下几点:情志不遂,郁火伤阴;饮食失节,积热伤津;先天不足,五脏虚弱;纵欲无度,肾精亏耗;滥用辛燥,耗津伤阴。段富津教授认为,消渴病及其并发症,应从整体出发、从病机入手进行施治,主要证型有气阴两虚、肺胃燥热、肝肾阴虚、阴阳两亏等,其中以气阴两虚最为常见,临证当审证求因,据证施方,随症化裁,尽能收效。

Diabetes is manifested as polydipsia,polyphagia and urorrhagia. It is termed as the upper,middle and lower Jiao in TCM. The disease can be combined with loss of weight,turbid and sweet-flavor urine. It is believed in TCM that poor emotions lead to fire accumulation and consumption of yin,improper diet results in heat accumulation and consumption of body fluids,congenital insufficiency results in weakness of five zang organs,sexual indulgence leads to consumption of kidney essence,and the indulgence of pungent and dry food consumes and damages yin. Prof. Duan Guijin,the national master of TCM,thinks that the treatment of diabetes should focus on the disease itself and its complications. The holistic view and pathogenesis of the disease are the principles. The main syndromes include qi and yin deficiency,dry heat in the lung and stomach and yin and yang deficiency,of which,qi and yin deficiency is the most common. The satisfactory effects are only obtained by the individual differentiation and corresponding treatment of the disorders.