南京中医药大学金匮肾气丸治消渴症的临床与机理研究博士生庄政道.PDF

南京中醫藥大學 金匱腎氣丸治消渴症 的臨床與機理研究 博 士 生 莊政道 指導教授 馬 健 博士 1 目 錄 摘要 …………………………………………. 1 前言 …………………………………………. 2 一、 中醫對消渴病因病機的認識 ………….3 二、 中醫對消渴分型治療的總結 …………7 三、 金匱腎氣丸治療消渴的研究 …………12 四、 有關問題的討論 ……………………..16 結語 ………………………………………..19 參考文獻 …………………………………..20 2 摘要 「消渴」是傳統中國醫學裡的一個特有症候名，是一個廣義性的統稱，包含 了本身涵蓋的「上消」、「中消」、「下消」，亦含蓋了「消癉」，當然亦包括了現代 的文明病「糖尿病」。 本論文除了將古籍的消渴病因、病機做一系統性的整理外，並以臨床上符合 金匱腎氣丸治療的消渴症患者 20 名作探討，來探究其療效與機理，藉此深入了 解“消渴＂、“糖尿病＂、“金匱腎氣丸＂之間的關係。 Abstract “Thirst Symptosis”, in traditional Chinese medical science, refers to a group of symptoms that covers a range of diseases with similar systematic characteristics. It includes “symptosis at the top part”, “symptosis at the middle part”, “symptosis at the lower part”, and “overall symptosis” as well. The modern disease “diabetes” has also been categorized in this group of diseases. This thesis is dedicated to the historical, as well as systematic review on the causative factors, the mechanism and development of the disease “Diminishing Thirst”. Clinical studies of a group of twenty patients that symptomatically matched the use of “Jin-Guey-Sun-Chi tablet” as a traditional treatment were investigated. The effects of the recipes and its mechanism on the cure were investigated, in order to understand the relationship among “Thirst Symptosis”, diabetes, and “Jin-Guey-Sun-Chi tablet”. 1 前言 「消渴」之名最早出現於公元前 500 年~400 年的我國最早之古典醫籍《黃帝 內經》