基于从肝论治浅析消渴郁病

An analysis on the treatment of diabetes mellitus with the liver depression pattern based on the liver theory

糖尿病与抑郁焦虑之间可能是双向影响关系,抑郁焦虑可增加糖尿病风险,糖尿病也可继续加重抑郁焦虑状态,其根源与肝的功能失衡密切相关。基于肝的生理与病理特点入手,探讨消渴郁证从调畅气机、平衡升降、柔肝养血进行调控,进而影响营养物质的运化及气机的升降,以期对消渴郁证的诊治思路提供可借鉴的经验。

At present,it is believed that there may be a two-way relationship between diabetes mellitus and depression and anxiety,that is,depression and anxiety can increase the risk of diabetes,and diabetes can further aggravate depression and anxiety,whose root cause is closely related to the imbalance of liver function.Based on the physiological and pathological characteristics of the liver,this paper discusses the regulation and control of diabetes mellitus with the liver depression pattern by promoting the qi circulation,balancing the qi ascending and descending,softening the liver and nourishing the blood,and then by aff ecting the transportation and transformation of nutrients and the qi movement and transformation,with a view to providing some reference experience for the diagnosis and treatment of the disease.