唐宗海“从瘀而渴”思想探析及其在糖尿病代谢记忆防治中的应用

Tang Zonghai’s thought of “from stasis to thirst” and its application in prevention and treatment of metabolic memory in diabetes

对唐宗海《血证论》中关于“从瘀而渴”的学术思想进行了探析。唐宗海理宗《内经》,法遵仲景,善于触类旁通,形成了自己对消渴病的独到见解。唐宗海认为消渴以瘀血为伏根,从气血互累、而发消渴,调气治血、治渴大法,肾水为根、瘀去渴止,消渴用药、温凉有别等方面诠释了“从瘀而渴,从瘀治渴”的思想。进一步从伏瘀与糖尿病代谢记忆、活血祛瘀法防治糖尿病代谢记忆两方面探讨了从瘀血防治代谢记忆,为从瘀血辨治高糖代谢记忆及活血化瘀法防治糖尿病及其并发症提供了理论基础和实践依据,也为从瘀血论治糖尿病更深层次的研究提供了参考。

This article analyzes the academic thoughts of "from stasis to thirst " in Tang Zonghai ’ sXuezheng Lun. Tang Zonghai had formed his own unique insights into consumptive thirst disease, whichwas originated from Huangdi * s Classic on Medicine and learning from Zhang Zhongjing. Tang Zonghairecognized that consumptive thirst disease relies on blood stasis as latent evil. And he interpreted thethoughts of “ from stasis to thirst, treating thirst with stasis” from qi and blood to consumptive thirstdisease, regulating qi and blood to treat thirst, kidney-water as the root, thirst relief by blood circulation,and the treatment of consumptive thirst disease with warm or cool method. Further the article explores theprevention and treatment of metabolic memory from the blood stasis from two aspects of latent blood stasisin diabetic metabolic memory, and activating blood and dissolving stasis to treat metabolic memory. It isaimed to provide theoretical basis and practical basis for the treatment of diabetic metabolic memory basedon blood stasis, and the prevention and treatment of diabetes mellitus and its complications by activatingblood and dissolving stasis. Also it provides a reference for further research on the treatment of diabetesfrom blood stasis.