李赛美治疗“阳虚阳亢”证消渴病经验

LI Saimei′s Experience in Treating Diabetes of Yang Deficiency and Yang Hyperactivity Syndrome

介绍李赛美治疗消渴病的经验。认为除阴虚燥热证外,阳虚阳亢证亦是消渴病常见的证型,特别是岭南地区患者、阳虚体质者尤为多见。临床采用开郁散火、引火归元的治法,分阳亢盛于阳虚、阳亢与阳虚并重、阳虚盛于阳亢三个层面进行治疗。在病程进行中,久病必郁,久病必瘀,处方中均可加用疏肝理气、活血化瘀之品。

This paper introduces LI Saimei′s experience in treating diabetes. It is believed that in addition to dryness-heat due to yin deficiency syndrome, yang deficiency and yang hyperactivity syndrome is also a common type of diabetes, especially for patients living in the south of Qinling, whose constitution is usually yin deficiency. Clinically, treatment of soothing stagnation and purging fire as well as conducting fire back to its origin is applied. And the treatment is performed according to three levels: yang hyperactivity superior to yang deficiency, yang hyperactivity equal to yang deficiency, and yang deficiency superior to yang hyperactivity. Moreover, during the course of disease, stagnation and stasis occur after long-term illness. Therefore, liver-soothing, qi-regulating, blood-activating and stasis-resolving medicines can be added into the prescriptions.