温阳法配伍酸收治疗2型糖尿病

2型糖尿病涉及肝、脾、肾三脏,以脾肾阳虚,枢机不利为总病机,常见病机有:脾肾阳虚,寒湿格阳;痰生郁热,热伤气津;肝虚致郁,枢机不利。温阳法为该病的基本治法,同时需融合酸收之药,以收敛体内虚浮阳气、汇聚方中温阳之力;或生津、固精、缩尿、消积,可针对改善消渴临床症状;或柔养肝体,以助肝用,调畅枢机。在主导温阳同时,妙用酸收,能聚敛阳气,生津固精,养肝调枢,契合病机特点,对2型糖尿病的治疗颇有裨益。

Brief Analysis of the Application of Sour-Astringent Drugs in the Yang-Warming Method for Syndrome Differentiation and Treatment of Type 2 Diabetes

Type 2 diabetes involves the liver,the spleen and the kidney,with the general pathogenesis of yang deficiency of the spleen and the kidney and qi movement disorder.The common pathogenesis includes:yang deficiency of the spleen and the kidney,cold-dampness expulsing yang,phlegm generating depressed heat,heat impairing qi and body fluid and obstructed qi movement.Yang-warming method is principal for this disease and simultaneously combined with sour-astringent drugs to astringe the floating yang qi in the body and accumulate the yang-warming power in the formula;or generating body fluid,controlling spermatorrhea and reducing urination,removing food retention based on the clinical symptoms of consumptive thirst;or softening and nourishing liver body and smoothening qi activity.At the same time of warming yang,the application of sour-astringent drugs can achieve magical effects of astringing yang qi,generating body fluid and controlling spermatorrhea,nourishing liver and regulating qi activity,which will benefit the treatment of type 2 diabetes.