Discussion on the diagnosis and treatment of diabetes mellitus complicated with heart failure based on the theory of "excessive fire consumes qi while mild fire generates qi"
10.3760/cma.j.cn115398-20250825-00312
- VernacularTitle:基于“壮火食气,少火生气”理论探讨糖尿病合并心力衰竭的诊疗
- Author:
Yanjiao LIU
1
;
Yifan CHEN
;
Yuhan LI
;
Zhan LIU
;
Zhuye GAO
Author Information
1. 北京中医药大学研究生院2023级硕士研究生,北京 100029
- Keywords:
Diabetes mellitus;
Heart failure;
Excessive fire consumes qi;
Mild fire generates qi;
Diagnosis and treatment ideas
- From:
International Journal of Traditional Chinese Medicine
2025;47(12):1658-1663
- CountryChina
- Language:Chinese
-
Abstract:
With the development of society and changes in people's lifestyles, diabetes mellitus (DM) has become a major risk factor threatening human health, with its incidence rate increasing year by year. Based on the theory of "excessive fire consumes qi while mild fire generates qi", combined with the pathological mechanism and symptom characteristics of DM complicated with heart failure (HF), it is considered that deficiency and insufficiency of "less fire" and excessive "strong fire" consume qi are the fundamental pathogenesis of the occurrence and development of the two diseases. Phlegm, dampness, blood stasis and water are all from this, which further aggravates the disease. The basic treatment principle of "tonifying qi, activating yang, supporting Shao fire, clearing heat, detoxifying and strengthening fire" was proposed. Combined with the different emphasis of patients' syndromes, the treatment methods of promoting blood circulation and removing blood stasis, diuresis and phlegm were supplemented, in order to improve the clinical symptoms of patients and improve the survival rate.