从燥湿同治论治2型糖尿病理论探讨

随着社会经济的发展,2型糖尿病患者多表现为肥胖,而较少表现为典型的"三多一少"症状。单从"阴虚内热"或者"脾不散精,痰湿内盛"的病机出发论治2型糖尿病显然有失偏颇。燥与湿同形同病,与2型糖尿病具有密切的联系。由于燥湿同形同病,湿郁不布津可化燥,燥郁不行水而又可夹湿,以此建立了其在2型糖尿病病机中的重要地位。故从"燥湿同治"论治2型糖尿病,可以取到良好的临床疗效,体现了中医的整体观和"治未病"思想,为临床论治拓宽了思路。

Discussion on Theory of Treatment of Type 2 Diabetes Mellitus by Simultaneous Elimination of Dampness and Dryness

With the development of social economy,the clinical manifestation of mast patients with type 2diabetes mellitus(T2DM) is obesity instead of excessive drink,polyuria,excessive food and weight loss,so it is biased to treat T2DM only from the pathogenesis of "internal heat caused by Yin deficiency" or "Spleen failing to transporting essence and internal excess of phlegm and dampness". The theory that dampness and dryness are isomorphic and can make the same disease is closely related to T2DM,because the accumulation of dampness makes the fluid fail to be transported and then generates dryness,similarly,the accumulation of dryness makes the water fail to flow and then generates dampness,which means dampness and dryness have important position in the pathogenesis of T2DM. So treating T2DM by simultaneous elimination of dryness and dampness can achieve good clinical curative effect. The theory is the embodiment of the holism concept and the idea of "treating disease before its onset" of traditional Chinese medicine and it can broaden our mind in clinical treatment.