CAJ | 학술논문

糖尿病是由遗传和环境因素相互作用而引起的胰岛素绝对或相对分泌不足（胰岛素分泌缺陷），以及靶组织细胞对胰岛素敏感性降低，引起蛋白质、脂肪、水和电解质等一系列代谢紊乱综合征，其中以高血糖为主要标志。临床典型病例可出现多尿、多饮、多食、消瘦等表现，即“三多一少”症状。根据其病理特点和临床表现，将糖尿病归属于祖国医学“消渴病”范畴，历代医家对此病论述颇丰，多以三消分证论治为主，笔者根据临床实践并对其机理及治法进行探讨如下：认为病机为脾虚失运，湿浊内阻。创立健脾运湿，益气生津，逐瘀通经为基本治法。自拟苍兰四君汤为基本方。
당뇨병시유유전화배경인소상호작용이인기적이도소절대혹상대분비불족（이도소분비결함），이급파조직세포대이도소민감성강저，인기단백질、지방、수화전해질등일계렬대사문란종합정，기중이고혈당위주요표지。림상전형병례가출현다뇨、다음、다식、소수등표현，즉“삼다일소”증상。근거기병리특점화림상표현，장당뇨병귀속우조국의학“소갈병”범주，역대의가대차병논술파봉，다이삼소분증론치위주，필자근거림상실천병대기궤리급치법진행탐토여하：인위병궤위비허실운，습탁내조。창립건비운습，익기생진，축어통경위기본치법。자의창란사군탕위기본방。
Diabetes is caused by the interaction of genetic and environmental factors, causing absolute or relative insulin secretion (insulin secretory defect), as well as the insulin sensitivity of the target tissue cells decreased, causing protein, fat, water and electrolyte metabolism disorder syndrome series, in which high blood sugar is the main indicator. Clinically typical cases, there may be more urine, more drinking, more eating, weight loss and other manifestations, that is,“three many and one little”symptoms. According to the pathological characteristics and clinical manifestations, the diabetes attributed to the motherland medicine“Diabetes” category. Ancient physicians discussed this disease quite abundant and are mostly three elimination respectively treatment. The author discussed the mechanism and treatment method based on clinical practice. The pathogenesis is spleen loss of movement, wet muddy resistance. To found the basic method of Jianpi Yunshi, Yiqi Shengjin, Zhuyu Tongjing and make the basic recipe of the Canglan Sijun decoction.