初探「糖尿病中西醫結合証治之全面觀」

Preliminary Study on ＂Integrative Medicine Treatment of Diabetes Mellitus a Comprehensive View＂

李政育(Chen-Yu Lee) ； 吳哲豪(Che-Hao Wu) ； 王浩(Marc Wasserman) ； 王姿菁(Ze-Qing Wang) ； 林建維(Jian-Wei Lin) ； 楊惠文(Hui-Wen Yang) ； 張文淮(Wen-Huai Zhang) ； 廖炎智(Yan-Chih Liao)

《中國鍼灸學雜誌》 1卷1期 (2013/12) Pp. 7-25

https://doi.org/10.6528/CAMS.2013.0001

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。

關鍵字

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

並列摘要

Diabetes mellitus is a commonly seen chronic disease which threatens people's health. 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 the case with most endocrine diseases, treatment with Western medicine does not provide a total cure. Medication can only control blood glucose levels and must be taken for a lifetime. In Chinese medicine diabetes mellitus is in the area of dispersion-thirst disease (XiaoKe). Externally contracted virus is the main cause of diabetes mellitus and hyperglycemia. Bacterial, viral, parasitic, or microbial infection of the pancreatic islet cells are all possible causes. Additionally, Chinese medicine views this disease as due to more than just abnormality of the metabolic system. The development of diabetes mellitus includes the pancreas, liver, lung, kidney, large intestine, muscle tissue, blood vessel circulation, nerves, bone marrow, brain, and other tissues and organs. Hyperglycemia can be due to damage to the pancreatic insulin function, all types of liver disease including hepatitis and liver 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 all types of cerebrovascular and neurological disease, or pathology of the nerve fibers. In the spirit of providing medicine which suits the disease, a clear strategy and direction for treatment must come from analysis and pattern differentiation of the varying pathologies and etiologies.

並列關鍵字

Diabetes mellitus ； Infection induced diabetes ； trauma induced diabetes ； neurologically induced diabetes ； Circulatory system induced diabetes Organ system induced diabetes ； Tumor induced diabetes ； Digestive system immunological disease induced diabetes