Professor WEI Zixiao's Experience in Differentiating and Treating Diabetes Mellitus Complicated with Urinary Tract Infection from Taiyin （太阴） and Shaoyin （少阴）
10.13288/j.11-2166/r.2026.13.005
- VernacularTitle:魏子孝从太阴、少阴辨治糖尿病合并泌尿系感染经验
- Author:
Xiangwen CHENG
1
;
Yue FAN
1
;
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
- Publication Type:Journal Article
- Keywords:
diabetes mellitus;
urinary tract infection;
taiyin （太阴）;
shaoyin （少阴）;
experience of famous doctors;
WEI Zixiao
- From:
Journal of Traditional Chinese Medicine
2026;67(13):1378-1382
- CountryChina
- Language:Chinese
-
Abstract:
This article summarizes professor WEI Zixiao's clinical experience in the differentiation and treatment of diabetes mellitus complicated with urinary tract infection from the perspective of taiyin （太阴） and shaoyin （少阴）. Professor WEI takes taiyin and shaoyin in the six meridians as the core differentiation framework， and puts forward that the core pathogenesis lies in deficiency of both the spleen and kidney， and the dysfunction of qi transformation as the root， and damp-heat pouring downward as the branch. It is held that xiaoke （wasting-thirst， 消渴） and strangury originate from the same pathogenesis yet present distinct clinical manifestations. Chronic cases are mostly characterized by deficiency-excess complex， lingering and difficult to heal. In clinical practice， the disease is condensed into four syndromes， taiyin syndrome， shaoyin cold-transformation syndrome， shaoyin heat-transformation syndrome， and concurrent taiyin and shaoyin syndrome. The key therapeutic principle is to restore the transportation function of the taiyin （spleen） and to enhance the qi-transformation function of the shaoyin. The corresponding methods include tonifying the middle and replenishing qi， warming the kidney and transforming qi， nourishing yin and relieving strangury， as well as strengthening healthy qi and relieving strangury. Representative formulas include Buzhong Yiqi Decoction （补中益气汤）， Jisheng Shenqi Pill （济生肾气丸）， Zhibai Dihuang Pill （知柏地黄丸） combined with Zhuling Decoction （猪苓汤）， and Buzhong Yiqi Decoction combined with Jisheng Shenqi Pill， all with appropriate modifications. Bitter-cold medicinals are used cautiously， with emphasis on strengthening healthy qi and addressing both the root and the branch.
