中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
13期
105-107
,共3页
糖尿病%中医疗法%健脾运湿
糖尿病%中醫療法%健脾運濕
당뇨병%중의요법%건비운습
Diabetes%TCM treatment%Jianpi Yunshi
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，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。
糖尿病是由遺傳和環境因素相互作用而引起的胰島素絕對或相對分泌不足（胰島素分泌缺陷）以及靶組織細胞對胰島素敏感性降低，引起蛋白質、脂肪、水和電解質等一繫列代謝紊亂綜閤徵，其中以高血糖為主要標誌。臨床典型病例可齣現多尿、多飲、多食、消瘦等錶現，即“三多一少”癥狀。根據其病理特點和臨床錶現，將糖尿病歸屬于祖國醫學“消渴病”範疇，歷代醫傢對此病論述頗豐，多以三消分證論治為主，筆者根據臨床實踐併對其機理及治法進行探討，認為病機為脾虛失運，濕濁內阻。創立健脾運濕，益氣生津，逐瘀通經為基本治法。自擬蒼蘭四君湯為基本方。
당뇨병시유유전화배경인소상호작용이인기적이도소절대혹상대분비불족（이도소분비결함）이급파조직세포대이도소민감성강저，인기단백질、지방、수화전해질등일계렬대사문란종합정，기중이고혈당위주요표지。림상전형병례가출현다뇨、다음、다식、소수등표현，즉“삼다일소”증상。근거기병리특점화림상표현，장당뇨병귀속우조국의학“소갈병”범주，역대의가대차병논술파봉，다이삼소분증론치위주，필자근거림상실천병대기궤리급치법진행탐토，인위병궤위비허실운，습탁내조。창립건비운습，익기생진，축어통경위기본치법。자의창란사군탕위기본방。
According to genetic and environmental factors, insulin was not enough, and a series of metabolic syndrome disorders were caused, such as high blood sugar. Polyuria, polydipsia, polyphagia, weight loss were typical clinical symptoms. Diabetes belonged to Xiaoke diseaseinTCM, many medical scientists had discussed it in detail, differentiation of Sanxiao was applied. According to clinical practice, the pathogenesis of this disease was Pixu Shiyun, Shizhuo Neizu. Jianpi Yunshi, Yiqi Shengjin, Zhuyu Tongjing were considered as fundamental treatment, and Canglan Sijun decoction was applied as the fundamental recipe.
