程益春诊疗消渴学术经验探析

Discussion on Academic Experience of CHENG Yichun in Diagnosis and Treatment of Diabetes

程益春教授是全国著名名老中医药专家,在继承前贤有关消渴论治基础上,经过50余年消渴临床研究形成了自己独特的学术思想。从三焦层面认为消渴病及三焦,而以中焦之脾虚为病机关键;从脏腑层面认为消渴发病以五脏柔弱为基础,五脏失调、气化失司导致了消渴的发生;并阐述了消渴变证以“阳不化气、阴乃成形”为理论基础,病理产物痰、瘀是其变证形成的关键因素;总结出糖尿病肾病主要病机为脾虚及肾、内生浊毒。在消渴治疗中主张师古而不泥古,衷中参西,临证时要注重本病的预防,以及辨证与辨病相结合。

Professor CHENG Yichun is a well-known traditional Chinese medicine(TCM)expert in China.On the basis of inheriting the experience by the experts of early generations to treat diabetes,he has formed the unique academic thought after more than 50 years of clinical research on diabetes.From the perspective of triple energizer,he holds that diabetes involves triple energizer,and spleen deficiency of middle energizer is the key to the disease mechanism.From the perspective of zang-fu organs,he holds that the onset of diabetes is based on the weakness of the five zang organs,and disorders of five zang organs and qi transformation lead to the occurrence of diabetes.He also regards that the varied syndrome of diabetes is based on the theory of“yang failing to transform qi leads to yin forming the shape”,and the pathological products,“phlegm”and“blood stasis”,are the key factors in the formation of the varied syndrome.He summarizes that the main disease mechanism of diabetes nephropathy is spleen deficiency involving kidney,and endogenous generation of turbid toxin.In the treatment of diabetes,he advocates that the experience of early generations should be followed and the treatment should be further developed,TCM principle should be followed in combination with the technology of western medicine,prevention should also be paid attention to,and syndrome differentiation and disease differentiation should be combined.