中医治疗糖尿病从强调“益气养阴”到兼顾“解毒扶阳”

TCM Approaches for Treatment of Diabetes Mellitus Shift from Emphasizing Supplementing Qi and Nourishing Yin to Incorporating with Removing Toxin and Intensifying Yang

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DOI：

中文关键词: 糖尿病治法益气养阴解毒扶阳

英文关键词:diabetes mellitus therapeutic method supplementing qi and nourishing yin removing toxin and intensifying yang

基金项目:国家自然科学基金资助项目(No.30772853;30801492)

作者	单位
陆付耳	华中科技大学同济医学院附属同济医院中西医结合研究所

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中文摘要:

中医学如何认识糖尿病的病因与病机直接关系到其辨证立法,传统观念认为糖尿病发病阴虚为本、燥热为标,益气养阴为治疗糖尿病的根本大法。然而临床实践表明,单纯采用益气养阴之法治疗糖尿病疗效却不够满意。如何确立治疗糖尿病最有效的治法,笔者认为需要对糖尿病的病机证候进行仔细斟酌,把握阴阳。糖尿病病机中既有气阴两虚,亦兼有阳虚,尚有糖毒内虐;该病机不仅在糖尿病病程的后期阶段可辨可证,而且即便在发病之初已见端倪;因此,笔者认为当前中医治疗糖尿病在益气养阴的基础上尤应注重解毒扶阳,以求阴阳平衡,提高疗效。

英文摘要:

The identification of the etiology and pathogenesis of diabetes mellitus in TCM viewpoint is directly related with the syndrome differentiation and therapeutic methods.According to the traditional view,the pathogenesis of diabetes mellitus was considered as founding on yin deficiency,with dry heat in the superficiality,therefore the basic therapeutic methods should be supplementing qi and nourishing yin.However,its efficacy in clinical practice was unsatisfactory.In order to establish the efficient therapeutic approaches,the author strongly recommended that physician should get the insight into the pathogenesis and syndromes of the illness and handle the yin-yang equilibrium,pay attention to not only the qi and yin deficiency,but also the yang deficiency,and further,the inner barbaric glucose-toxicity,which not only existed at the late stage,but also showed some cues in the initiative stage.Therefore,the author emphasized that in treating diabetes mellitus,besides the basic treatment for supplementing qi and nourishing yin,one should pay great attention to removing toxin and intensifying yang to achieve yin-yang equilibrium.

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