《黄帝内经》“有者求之,无者求之”临床思维与糖尿病“热伤气阴”病机

Clinical thinking of ‘you zhe qiu zhi,wu zhe qiu zhi’ in Huangdi Neijing and pathogenesis of ‘heat injury qi and yin’ in diabetes mellitus

中医学十分重视病机,而病机经常要通过症状来体现。但实际临床常有症状不典型,甚至症状与病机相反的情况,通过现象探求疾病的本质也就是病机,具有重要意义。所谓"有者求之,无者求之"就是要强调在症状不典型的情况下,推求病机的重要性。糖尿病症状常呈现不典型表现。此时了解其"热伤气阴"核心病机对探求其防治方案具有重要临床价值。

Traditional Chinese medicine attaches great importance to pathogenesis,and pathogenesis is often reflected through symptoms.However,in clinical practice,there are often atypical symptoms,and even symptoms contrary to the pathogenesis.Through the phenomenon to explore the nature of the disease,which is of great significance.The application of the theory ‘you zhe qiu zhi,wu zhe qiu zhi’ is to emphasize the importance of deducing the pathogenesis in the case of atypical symptoms.Diabetic symptoms often show atypical manifestations.At this time,it is important that we understand the core pathogenesis of ‘heat injuring qi and yin’ in order to explore its prevention and treatment plan.