再论消渴病机关键——脾不散精、散膏不行OA
Further discussion on the key pathogenesis of consumptive thirst—"the spleen failing to disperse essence,and San Gao incapable of transporting essence"
消渴病位在散膏,病机关键为"脾不散精,散膏不行",治疗宜滋阴清热、益气养阴、活血化瘀三法为一法,方用消渴安汤加减;提出辨证加减证候和方药,包括肺热津伤、胃热炽盛、肝旺脾虚、气阴两虚、肾阴亏虚、肾阳虚衰、阴阳两虚、痰瘀内阻等.介绍"一则八法"综合管控疗法和疾病的转归、护理,以期为消渴的治疗提供新的思路与方法.
This article posits that the location of consumptive thirst lies in San Gao,and its key pathogenesis involves"the spleen incapable of dispersing essence,and San Gao failing to distribute essence to the whole body".The treatment of the disease should be based on three methods:nourishing yin and clearing heat,benefiting qi and nourishing yin,and promoting blood circulation and removing blood stasis.While modified Xiaoke An decoction is advised for the treatment of consumptive thirst,the paper proposes to differentiate its syndromes and to modulate prescriptions accordingly,including lung heat and fluid injury,excessive stomach heat,liver hyperactivity and spleen deficiency,both qi and yin deficiency,kidney yin deficiency,kidney yang deficiency and decline,both yin and yang deficiency,phlegm and blood stasis obstruction,etc.The article also introduces the comprehensive management therapy of"one rule and eight methods"for consumptive thirst and its prognosis and nursing,in order to provide new ideas and methods for the treatment of the disease.
南征;鲍鹏杰;林鸣浩
长春中医药大学附属医院,长春 130021大连医科大学,辽宁 大连 116044长春中医药大学,长春 130117
医药卫生
消渴病机脾不散精散膏不行一则八法
consumptive thirstpathogenesisspleen failing to disperse essenceSan gao failing to spread essenceone principle and eight methods
《吉林中医药》 2026 (5)
542-545,4
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