摘要
糖尿病基本病机为阴虚为本,燥热为标,两者互为因果。本病发生发展与热邪密切相关,而热邪有轻重虚实之不同,且常与湿、痰、瘀血等有形之邪胶结。临床运用中医治疗八法之“清法”治疗糖尿病及其并发症,常获显著疗效,具体分为清泻法(清热泻火法),针对脏腑火热炽盛之证,代表方有大黄黄连泻心汤、龙胆泻肝汤;清利法(清热利湿法),针对湿热蕴结于脾胃、胃肠,阻滞三焦,代表方有葛根芩连汤;清化法(清热化痰、化瘀法),针对因痰邪致病,病程缠绵、复杂多变,或瘀血致病,病症繁多、病情较重者,临床运用自拟经验方者较多;清补法(清热补养法),针对糖尿病日久,火热之邪伤阴耗气者,代表方有白虎加人参汤、黄连阿胶汤、玉女煎。
The basic pathogenesis of diabetes is yin deficiency as the root and dry heat as the symptoms,both of which are reciprocal causation.The occurrence and development of this disease is closely related to pathogenic heat,and pathogenic heat has different degrees of deficiency and excess,and is often cemented with tangible pathogenic factors,such as dampness,phlegm and blood stasis.Clinical application of Traditional Chinese Medicine treatment of the eight methods of"clearing therapy"in the treatment of diabetes and its complications has often achieved significant efficacy,which is specifically divided into Qingxie method(clearing heat and purging fire method),for the syndrome of excessive heat in the viscera,and the representative prescriptions are Dahuang Huanglian Xiexin Decoction and Longdan Xiegan Decoction;Qingli method(clearing heat and draining dampness method),for the accumulation of damp heat in the spleen and stomach,gastrointestinal,block triple energizer,and the representative prescription is Gegen Qinlian Decoction;Qinghua method(clearing heat and resolving phlegm,removing blood stasis method)for the disease caused by phlegm,the course of the disease is lingering,complex and changeable,or caused by blood stasis.The disease is various,more serious,with more experience in clinical use of self-made prescriptions;Qingbu method(clearing heat and nourishing method)is for the patients with diabetes for a long time.The pathogenic heat hurts yin and consumes qi,and the representative prescriptions are Baihu Jia Renshen Decoction,Huanglian Ejiao Decoction,and Yu'nyu Decoction.
作者
崔丽
周亚滨
曹珣
Cui Li;Zhou Yabin;Cao Xun(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Department of Cardiovascular Disease,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Postdoctoral Station,Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《国际中医中药杂志》
2023年第5期653-656,F0003,共5页
International Journal of Traditional Chinese Medicine
基金
国家中医药管理局全国名老中医专家传承工作室建设项目(国中医人教函〔2022〕75号)
黑龙江省博士后项目(LBH-Z19209)。
关键词
糖尿病
糖尿病并发症
清法
中医药治法
临床应用
综述
Diabetes mellitus
Diabetes complications
Qing therapy
Therapeutic methods(TCMP)
Clinical application
Review
作者简介
通信作者:曹珣,Email:littlecat070601@126.com。
