基于《金匮要略》胸痹、心悸、消渴病证治探讨糖尿病性心脏病的临床诊疗

Clinical diagnosis and treatment of diabetic heart disease based on syndrome differentiation and treatment of chest obstruction,palpitation and diabetes in Synopsis of Golden Chamber

糖尿病性心脏病变是糖尿病最严重的并发症之一,视其症状可将其归为中医学“胸痹”“心悸”等范畴。《金匮要略》所载的许多条文和经方,对本病的治疗极具指导意义,至今仍被后世临床广泛运用。《金匮要略》认为消渴病心病的病机多与阴阳偏盛、痰瘀阻滞、水饮凌心、气机不畅等因素相关,治疗时当审病求因,明辨证型,兼顾消渴,活用经方,对证治疗。