文章摘要
胡洁,傅强,刘媛媛,等.基于“六郁”与“郁热”理论探讨吕仁和分期论治糖尿病[J].浙江中医药大学学报,2023,47(11):1300-1305, 1310.
基于“六郁”与“郁热”理论探讨吕仁和分期论治糖尿病
LYU Renhe’s Academic Thoughts and Experience of Treating Diabetes by Stages Based on the Theory of “Six kinds of Stagnation” and “Heat Stagnation”
DOI:10.16466/j.issn1005-5509.2023.11.010
中文关键词: 六郁  郁热  糖尿病  脾瘅  消渴  消瘅  名医经验  吕仁和
英文关键词: six kinds of stagnation  heat stagnation  diabetes  Pidan  Xiaoke  Xiaodan  experience of famous doctors  LYU Renhe
基金项目:第六批全国老中医药专家学术经验继承工作(1706026);北京中医药传承“双百工程”项目(JX236)
作者单位
胡洁 北京中医药大学东直门医院 北京 100700 
傅强 北京中医药大学东直门医院 北京 100700 
刘媛媛 北京中医药大学东直门医院 北京 100700 
田楚箫 北京中医药大学东直门医院 北京 100700 
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中文摘要:
      [目的] 基于“六郁”和“郁热”理论探讨糖尿病病机变化,总结国医大师吕仁和教授分期论治糖尿病的经验。[方法] 结合“六郁”与“郁热”理论,分析吕老对糖尿病各期病因病机的认识,总结吕老糖尿病分期论治经验,并以临床验案佐证。[结果] 吕老将糖尿病分为脾瘅期、消渴期、消瘅期三期,六郁在糖尿病各期均有重要作用。在临床治疗糖尿病时兼顾糖尿病各期病机特点,根据郁滞与热像偏盛,辨证施以解郁、清热之法。所举医案为吕老治疗糖尿病验案,辨证为气血痰热,郁阻血脉,脉络欠活,治法以行气活血、化痰清热为主,疗效确切。[结论] 吕老对糖尿病各期病机认识深刻,临床以解郁、清热之法治疗糖尿病,疗效显著,其临床诊疗经验值得参考和学习。
英文摘要:
      [Objective] To summarize Professor LYU Renhe’s academic thoughts and experience about the pathogenesis and treatments of diabetes by syndrome differentiation and stages based on the theory of “six kinds of stagnation” and “heat stagnation”. [Methods] Based on the theory of “six kinds of stagnation” and “heat stagnation”, this paper analyzed and summarized Professor LYU’s academic thoughts of the pathogenesis of diabetes at each stage and his experience in treating diabetes, as well as took a clinical case for evidence. [Results] Professor LYU divided diabetes into three stages: Pidan, Xiaoke and Xiaodan, the six kinds of stagnation played an important role in each stage of diabetes. Therefore, in the clinical treatment of diabetes, the pathogenesis characteristics of diabetes at each stage should be taken into account. According to the symptoms of stagnation and heat, the methods of relieving depression and clearing heat should be applied. The clinical case cited was classical, and its differentiation was that Qi, blood, phlegm and heat combined together and context blocked. The treatment was to promote Qi and blood circulation, dissipate phlegm and clear heat, which made great effects. [Conclusion] Professor LYU had a profound understanding of the pathogenesis of diabetes at all stages, and had significant clinical efficacy in treating diabetes by relieving depression and clearing away heat. His clinical diagnosis and treatment experience is worth of reference and learning.
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