从“浊毒伏络”探讨糖尿病心肌病

Discussion on Diabetic Cardiomyopathy Based on“Latent and Turbid Toxin in Collaterals”

糖尿病心肌病(DCM)属于中医学消渴并发心悸、胸痹范畴。结合现代浊毒理论、络病理论及糖尿病心肌病的病理特点,认为“浊毒伏络”是DCM起病之本,心络受损是DCM演变之机,气血阴阳俱虚是DCM的最终结局。根据“浊毒伏络”理论和疾病分期特点,治疗方面提倡早期化浊解毒、中期搜剔通络、后期补虚固本。

Diabetes cardiomyopathy(DCM)belongs to the category of consumptive thirst complicated with palpitation,chest impediment in traditional Chinese medicine.Combined with the modern turbid toxin theory,collateral disease theory and the pathological characteristics of diabetes cardiomyopathy,it is believed that“latent and turbid toxin in collaterals”is the origin of DCM,the injury of heart collaterals is the evolution of DCM,and the deficiency of qi,blood,yin,and yang is the final outcome of DCM.According to the theory of“latent and turbid toxin in collaterals”and the disease characteristics of different clinical stage,in terms of treatment,it is advocated to resolve turbidity and eliminate toxin in the early stage,dredge collaterals by hunting and removing blood stasis in the middle stage,and tonify deficiency and consolidate the root in the late stage.