| 摘要: |
| 《黄帝内经》“壮火食气”思想反映了体内病理之火对正气的损害，尤其体现在脾瘅-消渴-消瘅的发展过程中，在实际临床中其内涵更为丰富。历代医家十分重视消渴病火热伤气的病机，常用清热益气法治疗消渴病，现代医家也逐渐认识到2型糖尿病火热伤气的病机过程。基于 “壮火食气”理论探讨2型糖尿病“火热伤气”的基本病机，以此确立苦寒清热以直折火势、甘温益气以培正固本的治疗法则，临证时能明确改善患者症状和理化指标，有利于长期预后。 |
| 关键词: 黄帝内经 壮火食气 2型糖尿病 火热伤气 病因病机 |
| DOI：10.11656/j.issn.1672-1519.2022.01.12 |
| 分类号:R587.1 |
| 基金项目:国家自然科学基金面上项目（81774272）。 |
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| Based on the Huangdi Neijing thought of “strong fire hurt qi” theory to explore on the pathogenesis of heat injury in diabetes mellitus |
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JIANG Li, ZHANG Yaofu, MENG Fanzhang, ZHOU Jingya, ZHAO Jinxi
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Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
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| Abstract: |
| The idea of “strong fire hurt qi” in Huangdi Neijing reflects the damage of internal pathological fire to qi，especially in the development process of pi dan-xiao ke-xiao dan，which is more abundant in clinical practice. Traditional doctors attach great importance to the pathogenesis of diabetes and often use the method of clearing heat and improving qi to treat diabetes. Modern doctors have gradually realized the pathogenesis of type 2 diabetes. Based on the theory of “strong fire hurt qi”，this paper discusses the basic pathogenesis of type 2 diabetes “heat pathogenesis and qi deficiency”，so as to establish the treatment rules and points of care to directly break fire，and nourish qi to cultivate source，which can clearly improve the symptoms and clinical indicators of patients in the treatment and promote long-term outcomes. |
| Key words: Huangdi Neijing strong fire hurt qi type 2 diabetes heat pathogenesis and qi deficiency etiology and pathogenesis |
