朱章志运用扶正祛邪法论治糖尿病经验

Discussion on ZHU Zhang-zhi's Experience in Treating Diabetes Mellitus by Using The Method of Reinforcing The Healthy Qi and Eliminating The Pathogenic Factors

糖尿病属于中医学“消渴病”范畴,以往医家多认为其病机为阴虚燥热,治疗以滋阴清热为法。朱章志教授通过长期的临床观察与实践,立足于张仲景“保胃气,扶阳气”的理论,认为糖尿病的病机为正虚邪滞,即太阴虚损、阳气不足、收敛不及,寒、水、湿之邪阻滞阳气运行通道。治疗上不囿陈法,以扶正祛邪为大法,通过固护太阴、扶助阳气、收敛阳气,祛除寒水湿之邪,恢复阳气运行之通畅,使阳气功能复常、运行有序,为糖尿病的治疗提供临床新思路。

Diabetes mellitus belongs to the category of"xiao ke"in traditional Chinese medicine.Doctors used to think that its pathogenesis was Yin deficiency and dryness heat,and the treatment was nourishing Yin and clearing heat.Through long-term clinical observation and practice,and based on ZHANG Zhong-jing's theory of“protecting stomach Qi and supporting Yng Q”,professor ZHU Zhang-zhi believes that the pathogenesis of diabetes is deficiency of healthy Qi and stagnation of pathogen.Because of the deficiency of greater Yin and Yang Qi,and the lack of convergence,the cold,water and dampness block the operational channel of Yang Qi.The treatment of diabetes mellitus should be based on reinforcing the healthy Qi and eliminating the pathogenic factors.By strengthening Taiyin,supporting Yang Qi,astringent Yang Qi,dispelling the evil of cold,water and dampness,we can restore the smooth operation of Yang Qi,restore the function of Yang Qi to normal and operate orderly,which provides a new clinical method for the treatment of diabetes mellitus.