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刍议“消渴病心病”认识糖尿病心肌病
董丽1, 杨思进1, 白雪1, 杜勇2, 石建军2
1.西南医科大学附属中医医院心脑病科, 泸州 646000;2.阆中市中医医院心内科, 阆中 637000
摘要:
糖尿病心肌病既有"消渴"的表现,又有"心病"的症状,即可理解为消渴病变证于心,可命名为"消渴病心病"。消渴以阴虚燥热为本,延及"心病",痰浊、瘀血等有形实邪羁留心胸脉络,且贯穿于始终,诸邪相生互助为虐,分期辨证早期宜补心之气阴为主,中期注重祛痰、化瘀,至后期滋阴温阳,补气固脱,切勿拘泥其一,临证当明辨兼夹,随脉而治。
关键词:  糖尿病心肌病  消渴病心病  痰浊  瘀血
DOI:10.11656/j.issn.1673-9043.2020.01.24
分类号:R587.1
基金项目:泸州市人民政府-西南医科大学高层次人才(陈晨团队)引进专项资助项目;2018年泸州市科技局项目;2019年西南医科大学校纵课题。
Discussion on TCM of diabetic cardiomyopathy
DONG Li1, YANG Sijin1, BAI Xue1, DU Yong2, SHI Jianjun2
1.The Second Affiliated Hospital of Southwest Medical University, Department of Cardiology, Luzhou 646000, China;2.The Hospital of Langzhong Traditional Chinese Medicine Hospital, Department of Cardiology, Langzhong 637000, China
Abstract:
Diabetic cardiomyopathy has both "quenching" and "heart disease" symptoms,which can be understood as a syndrome of diabetes. It can be named as "diabetes heart disease". Diabetes is based on yin deficiency and torridness,extends to "heart disease". Turbidity,blood stasis and other tangible real evils pay attention to the chest and veins,and throughout the period,all evils and mutual help for abuse. In the early stage,it is necessary to supplement the heart and qi and yin. In the middle stage,it is important to pay attention to phlegm and blood stasis. To the later stage,nourishing yin and warming the yang,and tonifying the qi and removing the qi,do not stick to one,and the clinical evidence should be discerned.
Key words:  diabetic cardiomyopathy  diabetes mellitus  phlegm  blood stasis
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