基于水火既济理论从心肾论治消渴病口干症

Treating diabetic xerostomia from the perspective of heart and kidney based on the harmony between water and Huo theory

文章基于《周易》“水火既济”理论,探讨从心肾论治消渴病口干症的理论依据和临床研究。临床中消渴病患者常出现口干伴烦燥、失眠、下肢怕冷、小便多等症状。这种上热下寒之象多是心肾失交的缘故;治宜交通心肾、固肾止渴;用药当选清心火、滋肾阴、温肾阳之品,根据病情发展阶段有所侧重并随证加减。基于水火既济理论探讨消渴病口干症的发病机制及治疗法则,并举临床验案,以期为临床治疗消渴病口干症提供思路。

In this article,the theoretical basis and clinical research on treating diabetic xerostomia from the perspective of the heart and kidney theory based on the harmony between water and Huo(火)theory in Zhouyi(《周易》).In clinical practice,diabetic patients often have symptoms such as dry mouth with irritability,insomnia,coldness of the lower limbs,excessive urination and so on.This phenomenon of upper heat and lower cold is mostly caused by the discordance of heart Huo and kidney water.During treatment,it is suitable to communicate the heart Huo and kidney water,invigorate the kidney and quench thirst.It is appropriate to choose TCM medicines with the functions of clearing the heart Huo,nourishing kidney Yin(阴),and warming kidney Yang(阳).The above treatment methods and medications are divided into key points and secondary according to the development stage of the disease,and combines with syndrome differentiation.Based on the harmony between water and Huo theory,the pathogenesis and treatment rules of diabetic xerostomia were discussed,and clinical cases were given,in order to provide more ideas for the clinical treatment of diabetic xerostomia.