“肾消”辨

Textural research on‘Shenxiao’

“消渴”与现代疾病糖尿病相似,而“肾消”被认为与糖尿病肾脏疾病吻合度高。糖尿病肾脏疾病虽是糖尿病的一种并发症,但病变系统已发生改变,两者非属同一病种,故单独认识“肾消”可为糖尿病肾脏疾病提供中医辨病基础。挖掘“肾消”的古代文献发现:从词性看,“肾消”具有多义性,在古代文献中即作病又作证,单从“消渴”认识“肾消”,容易以偏概全,忽视其肾体损伤的本质;从内涵看,“肾消”具有独特性,是“上消”“中消”的延续发展,且疾病性质已发生质的改变,由病在气血津液转化为病在脏腑。故“肾消”与“消渴”相联之中却有本质区别,当视作独立的病证。

‘Xiaoke’is similar to the modern disease diabetes,and‘Shenxiao’is considered to have a high anastomosis with diabetic kidney disease.Diabetic kidney disease is a complication of diabetes,but the pathological system of the two has changed and they are not the same disease.Therefore,a separate understanding of‘Shenxiao’can provide the basis for the differentiation of diabetic kidney diseases.Digging the literature of‘Shenxiao’and found:From the point of view of parts of speech,it is found that‘Shenxiao’is polysemous.In ancient literature,‘Shenxiao’is both a disease and a testimony.It is easy to generalize‘Shenxiao’only from‘Xiaoke’and ignore the nature of kidney body injury.From the perspective of connotation,‘Shenxiao’is unique,is the continuation of‘Shangxiao’and‘Zhongxiao’,and the nature of the disease has been changed,from the disease in qi,blood and body fluid to the disease in the viscera.Therefore,there are essential differences between‘Shenxiao’and‘Xiaoke’,and‘Shenxiao’should be regarded as independent diseases.