浅议六经辨治糖尿病泌汗异常

Brief discussion of syndrome differentiation of six meridians in diabetes with abnormal sweating

关键词:  糖尿病  泌汗异常  六经  伤寒论  吴深涛

Key words:  diabetes  abnormal sweating  six meridians  Shanghan Lun  WU Shentao

摘要:

临床所见糖尿病泌汗异常的患者越来越多，其汗出表现各异。吴深涛教授用六经辨证治疗此病，认为其发生在太阳肌表，基础病机为太阳营卫不和，当治以调和营卫，《伤寒论》治此病的基础方为桂枝汤。病在少阳，不夹湿者，常用柴胡加龙骨牡蛎汤加减治疗；少阳湿热者，常用黄芩滑石汤或甘露消毒丹加减治疗。病在阳明，常用白虎加参汤加减治疗。病在太阴，常用桂枝加龙骨牡蛎汤合玉屏风散加减治疗。病在少阴，少阴寒化者，常用桂枝加附子汤加减治疗；少阴热化者，常用当归六黄汤或知柏地黄丸加减治疗。病在厥阴，常用青蒿鳖甲汤、地骨皮饮或连梅汤加减治疗。为适应复合病机，临床需多经合治，常能取得良效。

Abstract:

More and more diabetic patients complicated with abnormal sweating, and their sweating manifestations are diverse. Professor WU Shentao treats this disease by syndrome differentiation of six meridians, and thinks its basic location of disease is in tai yang and the basic mechanism is disharmony of ying-qi and wei-qi, so it should be treated by harmonizing ying-qi and wei-qi. The basic prescription for treating this disease in Shanghan Lun is Guizhi Decoction. When in shao yang without dampness, it is often treated with Chaihu Jia Longgu Muli Decoction, while with dampness-heat, treated with Huangqin Huashi Decoction or Ganlu Xiaodu Dan. In yang ming, it is treated with Baihu Jiashen Decoction. Intai yin, it is treated with Guizhi Jia Longgu Muli Decoction and Yupingfeng Powder. In shao yin, cold transformation pattern is often treated with Guizhi Jia Fuzi Decoction, while heat transformation pattern treated with Danggui Liuhuang Decoction or Zhibai Dihuang Decoction. Injue yin, it is treated with Qinghao Biejia Decoction, Digupi Yin or Lianmei Decoction. In order to adapt to the complex pathogenesis of the disease, we need to combine multiple meridians in treatment, which can often achieve good results.