银屑病与糖尿病共病的中医研究进展

Research progress of traditional Chinese medicine on the comorbidity of psoriasis and diabetes mellitus

银屑病在中医归属于“白疕”范畴,糖尿病在中医称之为“消渴”,临床中银屑病更易伴发糖尿病,使病情错综复杂,以中医药为切入点治疗两者共病具有广阔发展前景。本文从西医角度出发,简述银屑病与糖尿病在现代生物学基础及危险因素方面具有显著相关性,从中医角度理解,通过归纳各医家认识得出湿邪为发病之初,瘀血贯穿始终,后期机体气阴受损,“湿、瘀、虚”为两者共病的关键病因病机的结论,并阐述中医辨证治疗银屑病与糖尿病共病的用药特点,更好地指导临床实践,发挥中医治疗特色。

Psoriasis belongs to the category of“white crust”in traditional Chinese medicine,and diabetes mellitus is called“consumptive thirst”in traditional Chinese medicine.Psoriasis is more likely to be associated with diabetes mellitus in clinic,which makes the condition complicated.It has a broad development prospect to take traditional Chinese medicine as a starting point to treat the comorbidity.From the perspective of western medicine,this article briefly describes that psoriasis and diabetes mellitus have significant correlation in modern biological basis and risk factors.From the perspective of traditional Chinese medicine,by summarizing the understanding of various medical experts,it can be concluded that dampness evil is at the beginning of the onset,blood stasis runs through the entire process,and later the body’s qi and yin are damaged,“dampness,stasis,and deficiency”are the key causes and pathogenesis of both comorbidities.This paper also expounds the characteristics of traditional Chinese medicine syndrome differentiation in the treatment of psoriasis and diabetes mellitus,in order to better guide clinical practice and give full play to the characteristics of traditional Chinese medicine treatment.