Exploration of the Treatment of Diabetic Complications from the Pathogenesis and Symptom Characteristics of Yellowish Sweating Disease
10.13359/j.cnki.gzxbtcm.2024.09.037
- VernacularTitle:从黄汗病病机与病症特点探讨糖尿病并发症的治疗
- Author:
Pei-Sen ZHENG
1
;
Zi-Rui CHEN
;
Xiao-Tian RAO
;
Lin-Jin HUANG
;
Chao CHEN
Author Information
1. 广州中医药大学附属汕头市中医医院,广东汕头 515031
- Keywords:
yellowish sweating disease;
diabetes mellitus;
diabetic complications;
interior heat and exterior deficiency;
wind-water pathogens attacking the exterior;
Huangqi Shaoyao Guizhi Kujiu Decoction;
Guizhi Plus Huangqi Decoction
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(9):2478-2483
- CountryChina
- Language:Chinese
-
Abstract:
Yellowish sweating disease is one of the fluid-retention diseases recorded in Jin Gui Yao Lve(Synopsis of the Golden Cabinet).The symptoms of yellowish sweating disease are complex,involving multiple visceral lesions,which are caused by interior heat and exterior deficiency,together with the concurrent invasion of pathogens of wind and water.Huangqi Shaoyao Guizhi Kujiu Decoction(mainly composed of Astragali Radix,Paeoniae Radix Alba,Cinnamomi Ramulus and vinegar)and Guizhi Plus Huangqi Decoction(mainly composed of Cinnamomi Ramulus and Astragali Radix)are the classical formula for the treatment of yellowish sweating disease.Both of the formulas have the actions of warming defensive qi and dredging yang,removing fluid retention and resolving dampness.Usually suffering heat in the spleen and stomach,together with carelessness in daily living and wind-water pathogens attacking the exterior,contributes to the key pathogenesis of diabetes mellitus.The clinical manifestations,etiology,occurrence and progression,and prognosis of yellowish sweating disease are similar to those of diabetic complications.Therefore,the treatment of diabetes complications such as diabetic kidney disease,diabetic cardiomyopathy,diabetic peripheral neuropathy,diabetes mellitus complicated with liver dysfunction,diabetic foot,and diabetic retinopathy can follow the therapeutic principles of yellowish sweating disease,and can be achieved by the therapies of clearing heat and purging fire,dispelling cold and removing dampness,and nourishing nutritive yin and harmonizing defensive qi with the appropriate formulas.The exploration of the treatment of diabetes mellitus and its complications from the pathogenesis and symptom characteristics of yellowish sweating disease will expand the thoughts for treating diabetic complications with traditional Chinese medicine.
