应用《金匮要略》百合类方论治糖尿病OA北大核心CSTPCD
Treatment of diabetes with Baihe-like prescriptions in Synopsis of Golden Chamber
消渴病多见口干多饮、尿频多尿、怕热多汗等津液耗损、阴虚内热表现,以及急躁易怒等情志异常症状.《金匮要略》针对杂病治疗进行阐述,其辨证思想具有较广泛的临床应用价值,需要进一步挖掘.《金匮要略》中论治百合病,百合病症状多变、恍惚不定是热邪散漫、游走无定导致的,可通过口苦、小便色红、脉微数等外象审查病机,其病机本质在于阴虚内热.糖尿病亦与阴虚内热密切相关.2 者病机相近,且神志症状为百合病及糖尿病共同特征表现,故本团队取法《金匮要略》中百合病论治内容,借鉴百合类方治疗糖尿病,临床通过辨证、辨症状、辨指标等,选用百合、知母、玄参、生地黄、葛根等药物滋阴清热,取得较好疗效.希望可以丰富中医学对百合病的认识,为临床治疗糖尿病提供新的思路.
Consumptive thirst such as dry mouth and polydipsia,frequent urination polyuria,fear of heat and hyperhidrosis and loss of other body fluids,yin deficiency and internal heat expression,and irritability and other abnormal emotional symptoms are common.The Synopsis of Golden Chamber need to be further explored for the treatment of miscellaneous diseases.The dialectical thought has a high clinical application value.Lily disease treatment recommendations in the Synopsis of Golden Chamber are explored.The symptoms of lily disease are varied and uncertain,which are caused by the scattering and wandering aimlessly of heat pathogen.The pathogenesis of lily disease can be examined through external symptoms such as bitter taste in mouth,red urine,and faint and rapid pulse.Diabetes is also closely related to yin deficiency and internal heat,and the pathogenesis of the two is similar.Mental symptoms are common characteristics of lily disease and diabetes.The method taken from the Synopsis of Golden Chamber and Baihe-like prescriptions for the treatment of diabetes are effective.By identifying different patterns,symptoms,and indicators,we can select lily bulb,common anemarrhena,rhizome,figwort root,unprocessed rehmannia root,and other drugs to treat diabetes,in order to improve our understanding of lily disease and provide new ideas for diabetes treatment.
汤怡婷;倪青;陈玉鹏;吴倩;史丽伟;杨亚男;庞晴
北京中医药大学 北京 100029中国中医科学院广安门医院清华大学玉泉医院
中医学
糖尿病消渴百合病金匮要略百合类方
diabetesconsumptive thirstlily diseaseSynopsis of Golden ChamberBaihe-like prescriptions
《北京中医药大学学报》 2024 (004)
466-471 / 6
国家自然科学基金面上项目(No.82174354);北京自然科学基金面上项目(No.7182143);中央高水平中医医院临床研究和成果转化能力提升项目(No.CZ3098402);广安门医院临床医学中心建设专项(No.2022LYJSZX02) National Natural Science Foundation of China(No.82174354)
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