消渴病为临床的一种多发病,阴虚燥热为其基本病机,"热"贯穿整个消渴发病过程,大致分为虚热、燥热、火热、湿热、痰热、浊毒热、瘀热、郁热八类。其基本治疗准则分别对应为生津散热,补肾固本;清热润燥生津;清热解毒降气;清利湿热,行水生津;清热化痰生津;除疳湿、化痰浊、解毒瘀;消热活血化瘀;理气治肝解郁。认为从"热"论消渴可为消渴病的防治提供一定的新思路。
Diabetes is a common disease in clinic, Yin deficiency and dryness heat are its basic pathogenesis. The "heat" can be roughly divided into deficiency-heat, dryness-heat, fire heat, dampness-heat, phlegm-heat, turbidity toxin-heat,stagnant heat and accumulation-heat throughout the diabetes pathogenesis. The corresponding treatment guidelines were promote salivation and cooling, reinforcing kidney and strengthening resistance; eliminating dampness and heat-circulate the water;clearing heat-removing toxicity-depressing qi; remove dampness-heat, circulate the water to stimulate saliva; clearing heat and expectoration, and promoting saliva; eliminate dampness, phlegm turbidity and toxin; clearing heat-promoting blood circulation for removing blood stasis; dispersing stagnated liver qi for relieving qi stagnation. This could provide some new ideas for prevention and cure of diabetes.