摘要
张进军主任医师传承并发扬徐经世国医大师“调肝”学术思想,在消渴诊治方面具有独到见解,认为随现代生活方式的变迁,消渴病可责之于肝,故从“调肝”论治。提出消渴以肝气郁滞、化火伤阴为始动因素,日久延及肺胃脾肾四脏腑,从五行生克理论入手,将消渴分为上消—肝火犯肺证,中消—肝郁胃热证、肝郁脾虚证,下消—肝肾阴虚证的3期4型。运用旋覆代赭汤合竹叶石膏汤泻肝清肺治上消,黄连温胆、泻心合白虎汤分消走泄治肝火犯胃型中消,养真汤理脾养阴治脾阴亏虚型中消,一贯煎合二至丸补益肾水、清平相火治下消,临床疗效颇著,并附验案1则。
Chief physician Zhang Jinjun inherits and carries forward the academic thought of“regulating liver”of Xu Jingshi,the master of traditional Chinese medicine,and has unique views on the diagnosis and treatment of Xiao Ke.He believes that with the change of modern lifestyle,liver qi disorder can lead to diabetes,so he treats Xiao Ke from the perspective of“regulating the liver”.He believes that stagnation of liver qi is the initial factor of Xiao Ke,which gradually affects the lung,stomach,spleen and kidney.According to the five zang organs theory,the syndrome differentiation of diabetes can be divided into three stages and four types:the syndrome of Shangxiao of liver fire invadingb lung,the syndrome of Zhongxiao of liver stagnation and stomach heat,the syndrome of liver stagnation and spleen deficiency,and the syndrome of Xiaxiao of liver and kidney yin deficiency.Use Xuanfu Daizhe Decoction and Zhuye Shigao Decoction to treat liver fire attacking lung,Huanglian Wenda,Xiexin and Baihu Tang Decoction to treat liver fire attacking stomach,Yangzhen Decoction to treat spleen yin deficiency,Using Yiguan Decoction and Erzhi Pills for Nourishing the Liver and Kidney to treat liver and kidney deficiency.The clinical effect is quite significant,with 1 case attached.
作者
韩津煜
张进军
王小庆
祝成
HAN Jinyu;ZANG Jinjun;WANG Xiaoqing(Anhui University of Chinese Medicine,Hefei Anhui 230031,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230031,China)
出处
《四川中医》
2023年第8期10-13,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
消渴
糖尿病
调肝
经验探析
Xiao Ke
Diabetes
Regulating liver
Analysis of experience
