CAJ | 학술논문

目的：分析糖尿病性冠心病中医病机，探讨合理临床组方。方法：回顾性分析已有流行病学调查文献和历代有关消渴及胸痹典籍，总结糖尿病性冠心病中医相关病机。结果：消渴与胸痹两病间存在共同病机特点，均以气阴两虚为本，血瘀痰湿为标；其中血瘀痰湿既为气阴两虚产物，又是消渴化为胸痹关键环节。结论：糖尿病性冠心病组方应以益气养阴、活血散瘀、通痹祛痰为治疗原则。
목적：분석당뇨병성관심병중의병궤，탐토합리림상조방。방법：회고성분석이유류행병학조사문헌화역대유관소갈급흉비전적，총결당뇨병성관심병중의상관병궤。결과：소갈여흉비량병간존재공동병궤특점，균이기음량허위본，혈어담습위표；기중혈어담습기위기음량허산물，우시소갈화위흉비관건배절。결론：당뇨병성관심병조방응이익기양음、활혈산어、통비거담위치료원칙。
Objective: To analyze pathogenesis of diabetic coronary heart disease, and investigate the reasonable clinical prescription. Methods: The existing epidemiological survey of literatures and ancient books and records about diabetes and thoracic obstruction were analyzed retrospectively. TCM pathogenesis of diabetic coronary heart disease was summarized. Results: There are common characteristics of the pathogenesis between diabetes and thoracic obstruction; Qiyin liangxu was Ben, Xueyu Tanshi was Biao;Xueyu Tanshi was the result of Qiyin Liangxu and the key link from diabetes to thoracic obstruction. Conclusion:Therapeutic principles were Yiqi Yangyin, Huoxue Sanyu, Tongbi Qutan in prescription of diabetic coronary heart disease.