摘要
因于长期大量临床实践所面临的困惑,深入分析了经典医籍关于消渴(包括脾瘅、消渴、消瘅、消症、消病、消)的论述,基于"邪气盛则实,精气夺则虚"阐明本病虚实的不同内涵,突出了邪实为病的重要作用。提出实邪无论内生、外感均可致消,前者多因实邪壅堵或邪郁生热;后者主要通过干扰腠理的生理功能进而影响三焦气化而致消。并讨论了实邪致消本症及变症的临床特点、治疗要点及治疗禁忌等。对于扩展临床的论治思路具有一定的启发作用。
Due to the confusion faced by a large number of long-term clinical practice,the paper deeply analyzes the classic medical books on the theory of consumptive thirst,based on the‘Shi indictions of powerful evil qi and xu of insufficient essence qi’to clarify the different content of the disease about Shi and Xu,highlighting the important role of evil qi in this disease.The article puts forward that both of the evil qi not only endogenous production but also exogenous sensation can cause the disease.The former is mostly caused by evil qi blocking or crowded evil qi producting heat.The latter mainly affects the tri-coke gasification by interfering with the physiological functions of couli.And then,we discussed the clinical characteristics,treatment points and treatment contraindications of this disease caused by evil qi.The article has a certain enlightening effect on expanding the clinical thinking of this disease.
作者
衡先培
李亮
杨柳清
赵红佳
王志塔
黄苏萍
陈敏灵
HENG Xian-pei;LI Liang;YANG Liu-qing;ZHAO Hong-jia;WANG Zhi-ta;HUANG Su-ping;CHEN Min-ling(People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第6期2751-2754,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81873213,No.81603508)
福建省自然科学基金项目(No.2017J01213,No.2016J0146)
福建省医学创新基金项目(No.2017-CX-42)。
关键词
消渴
病因病机
治疗
实证
Consumptive thirst
Pathogenesis
Treatment
Excess syndrome
