摘要
糖尿病对人类健康产生极大危害,中国古代对消渴病有丰富的文献记载。然而由于生活方式、饮食习惯以及环境因素对疾病谱有较大影响,糖尿病与消渴病在内容上有相似部分,然而两者概念不能完全等同。消渴症状不一定见于糖尿病,也可见于许多其他疾病如尿崩症出现多饮、多尿,也属于"消渴病"。糖尿病未必出现消渴症状,若无消渴症状,亦不能称之为消渴病。从典型临床表现及病机,推测古代消渴阴虚燥热证可能与现代1型糖尿病类似。2型糖尿病早期以实证为主,特别是肥胖初发2型糖尿病患者,以"热、痰、瘀"为主要表现。随着病情发展由实转虚,最后形成虚证或虚实夹杂。临床上,消渴病不应受制于"阴虚为本,燥热为标"病机的局限,治疗过程中方可取得较好疗效。
Diabetes mellitus has great harm to human health. In ancient China, there was ample literature of Xiaoke disease. However, due to lifestyle, dietary habits and environmental factors have a greater impact on the disease spectrum, Diabetes mellitus and Xiaoke disease are similar in content, but the concepts cannot be completely equivalent.Xiaoke disease symptoms are not necessarily seen in diabetes, but also seen in many other diseases such as diabetes insipidus appear polydipsia, polyuria, also belong to the "Xiaoke disease". Diabetes may not appear Xiaoke disease symptoms, if there is no symptoms of Xiaoke disease, Xiaoke disease cannot be called. From the typical clinical manifestations and Pathogenesis, suggesting that ancient yin deficiency heat syndrome of Xiaoke disease may be similar to modern type 1 diabetes. Type 2 diabetes, especially in obese newly-onset type 2 diabetes patients,"heat, phlegm,blood stasis" are the main performance. As the progression of disease, the final pathogenesis of type 2 diabetes is deficiency syndrome or mixed syndrome. In clinical, we should not be limited by the principle of "yin deficiency heat syndrome" and treatment can achieve better results.
作者
魏军平
柏力萄
魏璠
Wei Junping;Bai Litao;Wei Fan(Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2019年第1期54-58,共5页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家卫生和计划生育委员会保健局中央保健科研课题(W2017BJ43):新诊断2型糖尿病肥胖与非肥胖患者中医证素与胰岛功能关系研究
负责人:魏军平
关键词
糖尿病
消渴病
病名
病机
Diabetes mellitus
Xiaoke disease
disease name
pathogenesis
