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运用《金匮要略》论治糖尿病便秘探析
王燕俐1, 方朝晖1, 胡秀2
1.安徽中医药大学第一附属医院, 合肥 230031;2.安徽中医药大学, 合肥 230038
摘要:
糖尿病在中医里归于消渴范围内,“消渴”最初是在《黄帝内经》中被提起的,到了东汉张仲景的《金匮要略》对消渴进行更为详细记载。糖尿病便秘是糖尿病患者常见的并发症,张仲景对此也有独特见解。张仲景通过辨证论治,治病求本,谨遵病因病机,通过辨证分型,归纳出不同的有效方剂,为当代中医提供了极大的参考,应当进一步挖掘其学术思想,更好的服务于临床。
关键词:  糖尿病  消渴  糖尿病便秘  金匮要略  张仲景
DOI:10.11656/j.issn.1673-9043.2022.06.02
分类号:R587.2
基金项目:国家自然科学基金项目(82174153);国家中医药管理局中医药重点学科项目。
Application of Synopsis of Golden Chamber to treat diabetic constipation
WANG Yanli1, FANG Zhaohui1, HU Xiu2
1.The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China;2.Anhui University of Traditional Chinese Medicine, Hefei 230038, China
Abstract:
Diabetes is attributed in traditional Chinese medicine to eliminate thirst within the scope. "Consumptive thirst" was first mentioned in the Yellow Emperor's Classic of Internal Medicine,then came the Eastern Han Dynasty,ZHANG Zhongjing's Synopsis of the Golden Chamber has a more detailed account of quenching thirst. Diabetic constipation is a common complication of diabetic patients. ZHANG Zhongjing also has a unique view on this. ZHANG Zhongjing treated the disease based on syndrome differentiation,searching for the primary cause of disease in treatment. He obeyed the cause and pathogenesis,by syndrome differentiation. Different effective prescriptions were summarized. It provides a great reference for contemporary Chinese medicine. We should further explore his academic ideas to better serve the clinic.
Key words:  diabetes  consumptive thirst  diabetic constipation  Synopsis of the Golden Chamber  ZHANG Zhongjing
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