摘要
消渴病以口干多饮、多食、尿频量多为主症,根据侧重不同分为上中下三消。前人普遍认为消渴病的主要病机为阴虚为本,燥热为标,表现为阴虚证之人占大多数;现在多种因素的影响下证候比例发生转变,湿热蕴结证比例逐渐增加,逐渐认识到湿热是很重要的病因病机,治法也随之改变。首先全球气候变暖,湿热从外部侵袭肌表易发为湿疹湿疮,湿热邪阻滞上焦则伤肺,肺不能正常布散津液则口干口渴,主要表现为上消与糖尿病皮肤病变;此时治疗当以宣通肺气,祛风清热。其次饮食结构的转变加之饮食不节,脾胃功能受损失司,水谷不化精微,转生痰湿,痰湿郁而化热,成湿热蕴结于脾胃,主要表现为中消与糖尿病胃肠病变;此时治疗当以运脾畅中,清热燥湿。最后快速的生活节奏及不断增加的生活工作压力,致使情志不畅,肝气郁而化火,日久成肝胆湿热,湿热下注致膀胱,气化不利,则小便异常,主要表现为下消与糖尿病心理疾病,此时治疗当以疏肝泄热、淡渗利湿。
The disease of thirst is characterized by dryness of the mouth,excessive drinking,frequent urination and high volume of urine,and is divided into three categories according to their focus:upper,middle and lower thirst. In the past,it was generally believed that the main pathogenesis of thirst disorders was Yin deficiency,with dryness and heat as the symptoms,and that the majority of people were suffering from Yin deficiency. Firstly,as the global climate warms,damp-heat attacks the muscular surface from the outside and can easily lead to eczema and damp sores,while damp-heat stagnates in the upper Jiao and injures the lungs,and the inability of the lungs to disperse fluids properly leads to dryness and thirst,mainly manifesting as upper elimination and diabetic skin lesions. Treatment at this time should be directed at promoting the circulation of lung Qi,dispelling wind and clearing heat. Secondly,the change in dietary structure and the lack of discipline in eating and drinking have resulted in the loss of spleen and stomach functions,resulting in the production of phlegm and dampness,which in turn turns into heat and dampness in the spleen and stomach. Treatment at this time should be to transport the spleen and clear the middle,clear heat and dry dampness. Finally,the rapid pace of life and the increasing pressure of life and work lead to emotional and mental disorders,resulting in liver Qi becoming fire,which in time becomes dampheat in the liver and gallbladder,and damp-heat is injected into the bladder,which leads to adverse Qitransformation and abnormal urination,mainly manifesting as lower elimination and diabetic psychological disorders. At this time,treatment should be directed at draining heat from the liver and lightly percolating dampness.
作者
王晨
娄锡恩
张丽萍
陈金凤
周珍
周围
陶庆春
WANG Chen;LOU Xien;ZHANG Liping;CHEN Jinfeng;ZHOU Zhen;ZHOU Wei;TAO Qingchun(Beijing University of Chinese Medicine,Beijing 100029,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《辽宁中医药大学学报》
CAS
2022年第11期192-195,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
中央高校基本科研业务费专项基金(2019-JYB-JS-186)。
关键词
湿热
消渴病
脾胃
肝胆
玄府
分消走泄
dampness and heat
diabetes mellitus
spleen and stomach
liver and gallbladder
Xuanfu
elimination of pathogens through purgation and diuresis
