學會書刊

[ 中國鍼灸學雜誌 第
卷/第一期 ]
發行日期:2013年12月15日

 •1. 初探「糖尿病中西醫結合証治之全面觀」

1.李政育
2.吳哲豪、王浩(Marc Wasserman)
3.王姿菁、林建維、楊惠文、張文淮
4.廖炎智

1.育生中醫診所院長、中華民國中西結合神經醫學會名譽理事長、遼寧中醫藥大學客座教授、博士生指導教授
2.育生中醫診所、遼寧中醫藥大學博士研究生
3.遼寧中醫藥大學博士研究生
4.中國鍼灸學會理事長、三軍總醫院核子醫學部

摘要 :

糖尿病是一種常見威脅人們健康的慢性疾病,西醫對糖尿的了解尚有瓶頸,用藥仍顯不足,無法全面關照,往往侷限在內分泌的疾病,患者即使接受西醫治療也無法完全治癒,僅能夠達到血糖控制的效果,更需要服藥一輩子。糖尿病在中醫是屬於消渴證範疇,外感病毒是糖尿的主因尤其突發形成高血糖的疾病,皆為胰島細胞受到細菌、病毒、蟲、微生物感染所導致。此外,中醫認為不只是內分泌異常所產生的疾病,糖尿的產生牽涉到至少胰、肝、肺、腎、大腸、肌肉組織、血管循環、神經、骨髓及腦等組織與器官。

胰臟胰島素的功能損壞、肝臟各種疾病如肝炎、肝硬化、肌肉嚴重創傷損傷如橫紋肌溶解、燒燙傷、癰疽瘡瘍、血管彈性通透度的好壞、骨髓炎、醫源性、腸道病變、長期便秘患者、腎臟疾病、惡性腫瘤、各種腦血管神經病變或是神經纖維病變皆會導致高血糖的產生,不同的病因病機透過分析診斷鑑別,產生了明確的治療策略與方向,達到對症下藥的精神。

關鍵詞:

糖尿病、感染糖尿病、創傷性糖尿病、神經性糖尿病、循環系統性
糖尿病、臟腑性糖尿病、腫瘤性糖尿病、消化道免疫性糖尿病


Preliminary Study on "Integrative MedicineTreatment of Diabetes Mellitus a Comprehensive View"

1. Lee, Chen-Yu; 2. Wu, Che-Hao; Marc Wasserman
3. Wang, Ze-Qing; Lin, Jian-Wei; Yang, Hui-Wen; Zhang, Wen-Huai;
4. Liao Yan-Chih

1. Chief of Yu-Sheng Chinese Medical Clinic; Honorary Chairman of the ROC Integrated;Western and Chinese Neurology Association; Visiting Professor of LiaoNingUniversity of Traditional Chinese Medicine; PhD Advisor
2. Yu-Sheng Chinese Medical Clinic; LiaoNing University of Traditional Chinese
Meidcine PhD Student
3. LiaoNing University of Traditional Chinese Medicine PhD Student
4. Chairman of the Acupuncture and Moxibustion Society of ROC; Tri-Service General
Hospital Department of Nuclear Medicine

Abstract

Diabetes mellitus is a commonly seen chronic disease which threatens people'shealth. Understanding of this disease in Western medicine is still bottle-necked,use of medication is inadequate, and there is no overall care provided. As is thecase with most endocrine diseases, treatment with Western medicine does notprovide a total cure. Medication can only control blood glucose levels and mustbe taken for a lifetime. In Chinese medicine diabetes mellitus is in the area ofdispersion-thirst disease (XiaoKe). Externally contracted virus is the main causeof diabetes mellitus and hyperglycemia. Bacterial, viral, parasitic, or microbialinfection of the pancreatic islet cells are all possible causes. Additionally, Chinesemedicine views this disease as due to more than just abnormality of the metabolicsystem. The development of diabetes mellitus includes the pancreas, liver, lung,kidney, large intestine, muscle tissue, blood vessel circulation, nerves, bonemarrow, brain, and other tissues and organs. Hyperglycemia can be due to damageto the pancreatic insulin function, all types of liver disease including hepatitis andliver cirrhosis, severe trauma to the muscles as in rhabdomyolysis, burns, ulcers,sores, quality of flexibility and permeability of blood vessels, osteomyelitis,iatrogenic, bowel disease, chronic constipation, kidney disease, cancer, and alltypes of cerebrovascular and neurological disease, or pathology of the nervefibers. In the spirit of providing medicine which suits the disease, a clear strategyand direction for treatment must come from analysis and pattern differentiation ofthe varying pathologies and etiologies.

Key words:

Diabetes mellitus, Infection induced diabetes, trauma induced diabetes,neurologically induced diabetes, Circulatory system induced diabetes,Organ system induced diabetes, Tumor induced diabetes, Digestivesystem immunological disease induced diabetes

作者:李政育
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