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再论消渴病机关键——脾不散精、散膏不行

南征 鲍鹏杰 林鸣浩

吉林中医药2026,Vol.46Issue(5):542-545,4.
吉林中医药2026,Vol.46Issue(5):542-545,4.DOI:10.13463/j.cnki.jlzyy.2026.05.002

再论消渴病机关键——脾不散精、散膏不行

Further discussion on the key pathogenesis of consumptive thirst—"the spleen failing to disperse essence,and San Gao incapable of transporting essence"

南征 1鲍鹏杰 2林鸣浩3

作者信息

  • 1. 长春中医药大学附属医院,长春 130021
  • 2. 大连医科大学,辽宁 大连 116044
  • 3. 长春中医药大学,长春 130117
  • 折叠

摘要

Abstract

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.

关键词

消渴/病机/脾不散精/散膏不行/一则八法

Key words

consumptive thirst/pathogenesis/spleen failing to disperse essence/San gao failing to spread essence/one principle and eight methods

分类

医药卫生

引用本文复制引用

南征,鲍鹏杰,林鸣浩..再论消渴病机关键——脾不散精、散膏不行[J].吉林中医药,2026,46(5):542-545,4.

吉林中医药

1003-5699

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