以“糖络病”为糖尿病中医病名的合理性与临床意义

Analysis of the Rationality and Clinical Significance of Using"Sugar Collateral Disease"as the Name of Diabetes Mellitus in Traditional Chinese Medicine

从传统中医对“消渴病”的认识,以及现代医学对糖尿病的病因病位、疾病演变规律等方面的认识进行分析,论述以“糖络病”作为中医病名的合理性及临床指导意义,为中医病名的现代化发展提供参考。认为传统中医病名“消渴病”所描述的临床表现仅为糖尿病的某一阶段,难以全面涵盖糖尿病的临床特点。提出以“糖络病”作为糖尿病的中医病名,一方面可以反映糖尿病病性本质,另一方面可体现病位、病机及疾病演变规律,突出并发症危害,有助于临床加深对糖尿病病因、病位的认识,也可引起对该病早期诊断和治疗的重视,有助于提升中医药防治糖尿病的诊疗水平。

Based on the traditional Chinese medicine(TCM)'s understanding of consumptive thirst disease and modern medicine's understanding of the etiology of diabetes mellitus and the evolution of the disease,this article discussed the rationality and clinical significance of using"sugar collateral disease"as the name of diabetes mellitus in TCM,to provide a reference for modernization and development of TCM diseases'names.It is argued that the clinical manifestations described in the TCM disease name of consumptive thirst disease are only at a certain stage of diabetes mellitus,and it is difficult to cover the clinical characteristics of modern diabetes mellitus comprehensively.In 2003,academician TONG Xiaolin proposed to use"sugar collateral disease"as the TCM disease name of diabetes mellitus,which on the one hand can reflect the essence of diabetes mellitus,and on the other hand can embody the disease location,disease mechanism and the evolution of the disease,highlight the harms of complications,and serve as a warning for the early diagnosis and treatment of the disease,which can help to enhance the level of diagnosis and treatment of diabetes mellitus in TCM.