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吕仁和分期辨治糖尿病经验阐介

Professor LYU Renhe’s Experience on Staged Syndrome Differentiation and Treatment of Diabetes

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【作者】 薛泰骑; 王世东; 陈小愚; 苏冠旬; 李佳玥; 魏金艳; 陈宇; 赵进喜; 肖永华; 张华; 吕仁和;

【Author】 XUE Taiqi;WANG Shidong;CHEN Xiaoyu;SU Guanxun;LI Jiayue;WEI Jinyan;CHEN Yu;ZHAO Jinxi;XIAO Yonghua;ZHANG Hua;First School of Clinical Medicine, Beijing University of Chinese Medicine;Dongzhimen Hospital,Beijing University of Chinese Medicine;

【通讯作者】 张华;

【机构】 北京中医药大学第一临床医学院; 北京中医药大学东直门医院;

【摘要】 总结吕仁和教授辨治糖尿病的学术观点,旨在明析其关于消渴病脾瘅期、消渴期、消瘅期分期辨治的学术思想和抓主症、审病机、辨病位综合论治的诊治经验。临证重视将《黄帝内经》理论与现代医学相结合,对糖尿病进行分期辨证论治,认为脾瘅期核心症状为肥胖,消渴期应注重“除陈气”,微型癥瘕形成是导致消渴期向消瘅期发展的关键,以及消瘅期的主要辨证方法是脏腑辨证和经络辨证,同时要注重辨病位。

【Abstract】 This paper summarized professor LYU Renhe’ s academic views on diagnosis and treatment of diabetes,including staged syndrome differentiation as to pi dan(脾瘅),xiao ke(消渴) and xiao dan(消瘅) stages of diabetes,as well as comprehensive treatment following the principles of focusing on main symptoms,inspecting the disease mechanism and differentiating the disease location.In clinical practice,he attaches great importance to the integration of Inner Canon of Yellow Emperor(《黄帝内经)) theories and modern medicine,and takes staged syndrome differentiation and treatment of diabetes.He believes that ⅰ) obesity is the core symptom at pi dan stage;ⅱ) it is critical to "remove deposited qi" at xiao ke stage;ⅲ) the formulation of micro concretions and conglomerations is the key to the progressing from xiao ke stage to xiao dan stage;and ⅳ) zang fu organs(脏腑) differentiation and channel pattern differentiation as well as disease location differentiation should be mainly taken at xiao dan stage.

【基金】 国家重点研发计划(2018YFC1704100);北京市自然科学基金(7182096);北京中医药大学2019年度基本科研业务青年教师项目(2019-JYB-JS-080)
  • 【文献出处】 中医杂志 ,Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2022年05期
  • 【分类号】R259;R249
  • 【被引频次】7
  • 【下载频次】1322
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