现代中医临床2024，Vol.31Issue(4)：95-98,4.DOI:10.3969/j.issn.2095-6606.2024.04.019
基于"有故无殒"理论治疗2型糖尿病并发症经验
Clinical experience in treating complications of type 2 diabetes of through the lens of yougu wuyun
摘要
Abstract
Type 2 diabetes mellitus(T2DM)is classified under the category of xiaoke(consumptive thirst)in traditional Chinese medicine(TCM).The pathogenesis of T2DM is complex and prone to causing other complications over time,often characterized by a mix of deficiency and excess conditions.Treatment of diabetic complications should address both aspects,especially during periods of severe deficiency of vital energy and abundance of pathogenic factors.This clinical approach aligns with the core principles of yougu wuyun(if there is a hardening,there will be no harm)described in the Huangdi Neijing.In clinical practice,the analysis of"toxins"should extend beyond a pharmacological perspective to encompass the notion of"thickness"in disease,indicating prolonged and severe illness.In T2DM,turbid toxin follows the"qi-blood-collaterals"pathway,accumulating in areas of vital energy deficiency and leading to a proliferation of syndromic changes.Effective clinical management of diabetic complications necessitates precise differentiation,timely intervention,and a balanced approach.Treatment should avoid extremes,cease once the condition stabilizes,and utilize compatible drug combinations to enhance efficacy and reduce toxicity,thereby achieving a harmonious resolution of pathogenic factors and strengthening vital energy.This paper discusses the clinical experience in treating T2DM complications using the yougu wuyun theory,illustrated with case studies.关键词
有故无殒/2型糖尿病并发症/临证经验Key words
yougu wuyun(if there is a hardening,there will be no harm)/complications of type 2 diabetes/clinical experience分类
医药卫生引用本文复制引用
蓝宇洋,王晓斐,苗耀东,吴深涛..基于"有故无殒"理论治疗2型糖尿病并发症经验[J].现代中医临床,2024,31(4):95-98,4.基金项目
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(No.国中医药人教函[2022]75号) （No.国中医药人教函[2022]75号）
