共病视域下朱丹溪气血观对糖尿病合并高血压"阴伤湿聚"施治求索OA
Exploration of Zhu Danxi's qi-blood theory in treating"yin deficiency with dampness accumulation"in diabetes mellitus complicated by hypertension from perspective of comorbidity
以朱丹溪气血观为理论框架,聚焦糖尿病合并高血压"阴伤湿聚"这一病机,分析其动态演变规律,提出"阴生于脾,藏于肾,用于肝;湿源于脾,化于肾,疏于肝"的学术观点,强调肝、脾、肾同治,自拟消渴基本方调肝益肾、和中理气、滋阴祛湿,疗效满意,为代谢性共病的中医辨治提供新思路.并附验案1则.
Based on Zhu Danxi's qi-blood theory,and focusing on the pathogenesis of"yin deficiency with dampness accumulation"in diabetes mellitus complicated by hypertension,this paper analyzes its dynamic progression.The academic viewpoint is proposed that"yin is generated in the spleen,stored in the kidneys,and used by the liver;dampness originates in the spleen,transforms in the kidneys,and is dispersed by the liver."Emphasizing the simultaneous treatment of the liver,spleen,and kidneys,a self-formulated Xiaoke basic prescription for diabetes is used to regulate the liver and benefit the kidneys,harmonize the middle to regulate qi,nourish yin and expel dampness.Satisfactory clinical efficacy has been achieved,providing a new perspective for syndrome differentiation and treatment of metabolic comorbidities in traditional Chinese medicine.A clinical case is presented for reference.
刘禹涵;杨孔铭;王琴;张楠;张曦旭;杨潇;尹远平
辽宁中医药大学(辽宁 沈阳 110847)辽宁中医药大学(辽宁 沈阳 110847)辽宁中医药大学(辽宁 沈阳 110847)辽宁中医药大学(辽宁 沈阳 110847)辽宁中医药大学附属第二医院(辽宁 沈阳 110034)辽宁中医药大学附属第二医院(辽宁 沈阳 110034)辽宁中医药大学附属第二医院(辽宁 沈阳 110034)
糖尿病高血压代谢性疾病共病阴伤湿聚中医药疗法
diabetes mellitushypertensionmetabolic diseasescomorbidityyin deficiency and dampness accumulationtraditional Chinese medicine therapy
《上海中医药杂志》 2026 (6)
47-51,5
国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)辽宁省科技厅辽宁省科学技术计划项目(2023-MSLH-153)辽宁省教育厅2023年度高等学校基本科研面上项目(JYTMS20231835)
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