摘要
“消渴”又称“消中”“膈消”,相当于现代糖尿病,首见于《黄帝内经》,主要表现为“三多一少”,《素问》中提出长期酷食肥甘厚腻之品导致脾脏运化转输功能失调,体内水谷精微化生为湿浊之气,不能排出体外,久则郁热,导致消渴病的发生。黄元御学术思想可概括为“土枢四象,一气周流”,其认为脾胃如轴,若脾胃升降失常,则五脏六腑难以运转;若脾土过湿,则肝木不得升发,故黄元御在用药上注重疏肝健脾化湿,脾湿得化则肝得疏泄,化湿健脾、疏肝理气、温补肾阳并用。黄氏从根本上分析消渴病的发病机理,治疗从肝脾肾入手,突破了从阴虚燥热论治疗消渴病的方案,其治疗思想为后人治疗消渴病提供了重要的理论与实践依据,值得后人进一步探析。
The word“Xiaoke”comes from“Huangdi Neijing”,that is,modern diabetes,which is mainly manifested as“more than three,less”.In Suwen,it is pointed out that the pathogenesis of Xiaoke disease is:“the occurrence of this fat is also that this person must eat sweet and more fat,the fat person is hot internally,and the sweet person is full,so his Qi goes against,and turns to Xiaoke”.Huang Yuanyu’s academic thought can be summarized as“earth pivot and four images,one Qi circulates around”,which holds that the spleen and stomach are like the axis,if the spleen and stomach rise and fall abnormally,the five Zang organs and six Fu organs are difficult to operate;if the spleen and soil are too wet,the liver wood cannot rise,so Huang Yuanyu pays attention to soothing the liver,invigorating the spleen and dampness;if the spleen gets wet,the liver will be relieved,moistening the spleen,soothing the liver and regulating Qi,warming and tonifying the kidney yang.HUANG’s basic analysis of the pathogenesis of diabetes,treatment from the liver,spleen and kidney,breaking through the theory of yin deficiency,dryness and heat treatment of diabetes program,its treatment ideas for future treatment of diabetes provides an important theoretical and practical basis,worthy of further analysis.
作者
昌静楠
张玉
陈玉状
CHANG Jingnan;ZHANG Yu;CHEN Yuzhuang(Anhui University of Traditional Chinese Medicine,Anhui Hefei 230000,China)
出处
《中医药临床杂志》
2021年第7期1234-1237,共4页
Clinical Journal of Traditional Chinese Medicine
基金
安徽省大学生创新创业项目(202010369081)
关键词
黄元御
中气理论
消渴病
病因病机
HUANG Yuanyu
Zhongqi theory
Diabetes
Etiology and pathogenesis
