李光善教授从五脏气机失常论治消渴胸痹的临床经验

Professor LI Guangshan’s clinical experience in treating Xiaoke and chest pain from the perspective of five internal organs Qi movement disorder

消渴在中医学中常指代糖尿病,是以多饮、多尿、多食及消瘦为主要特征的综合症状,其主要特征为高血糖及尿糖。消渴和胸痹本属两个独立的疾病,但是消渴迁延日久多可伴发胸闷、胸痛等症状,导致消渴症和胸痹合并发生,严重降低患者的生活质量。青岛市中医医院李光善教授总结多年的临床经验,治疗消渴胸痹获得了很好的疗效。他多从五脏气机失常角度出发,认为五脏气机失常、心脉痹阻是消渴胸痹的关键病机。同时,气、血、津液在病理功能上又相互影响。五脏气机运行失常的同时也可导致全身血与津液运行失常,造成痰、瘀等病理产物。反之,瘀血、痰浊等有形之邪又可影响五脏气机的运行,病程迁延日久,气滞、痰浊、瘀血又可兼夹转化,分析病因,寻找病机,进行治疗;同时临床实践中联合黄帝内针针法通经络之气,以调脏腑。文章总结介绍李光善教授治疗消渴胸痹的经验,以期待为临床提供借鉴。

Xiaoke(消渴)is often referred to as diabetes mellitus in TCM.It is a comprehensive symptom with polydipsia,polyuria,overeating and wasting as the main characteristics.The main characteristics of laboratory testing are hyperglycemia and urine glucose.Xiaoke and chest pain belong to two independent diseases,but Xiaoke is prolonged and can be accompanied by chest tightness,chest pain and other symptoms,leading to the combination of Xiaoke and chest pain,which seriously reduces the quality of life of patients.Professor LI Guangshan of Qingdao Hospital of Traditional Chinese Medicine summed up years of clinical experience,and achieved good effects on Xiaoke and chest pain.He mostly starts from the perspective of the five internal Qi(气)machine abnormalities,and believes that the five internal Qi machine abnormalities and cardiac pulse obstruction are the key pathogens of thirst-quenching chest paralysis.At the same time,Qi,blood and body fluid affect each other in pathological functions.At the same time,the abnormal operation of the five internal organs can also lead to abnormal operation of blood and fluid throughout the body,resulting in pathological products such as phlegm and stasis.On the contrary,tangible evils such as blood stasis and phlegm turbidity can affect the operation of the five internal Qi machines,and the course of the disease is prolonged for a long time,and the stagnation,phlegm,and blood stasis can be transformed at the same time.This paper summarizes the experience of Professor LI Guangshan in treating Xiaoke and chest pain,in order to provide a clinical reference.