淺論消渴病與糖尿病

A Brief Discussion of Dispersion-Thirst and Diabetes

10.6968/TJCCTM.200412.0287

徐堅銘(Chien-Ming Hsu)；陳延年(Yan-Nian Chen)

消渴 ； 消癉 ； 三消 ； 糖尿病 ； 三多一少 ； dispersion thirst (xiao ke): dispersion exhaustion (xiao dan) ； three dispersions (san xiao) ； diabetes ； three excesses and one deficiency

中國中醫臨床醫學雜誌

10卷4期（2004 / 12 / 01）

287 - 292

繁體中文

本文由基本中醫名詞“消渴”、“消瘴”、“三消”的探源，進而切入討論傳統中醫消渴症及消渴病與現代醫學糖尿病相互間的關係。另外，臨床醫師常用“三多一少”作為初步診斷糖尿病的依據，而其中“一少”這個消瘦的症狀常成為許多文章探討的重點，因為現代醫學認為肥胖是第11型糖尿病的重要誘發因子之一，其中是否有矛盾之處，本文也將提出一點淺見，以期得到較合理的解釋。

This article begins with the investigation into the source of the meaning of the fundamental Chinese medicine terms dispersion-thirst (xiao ke), dispersion exhaustion (xiao dan), and the three dispersions (san xiao). It then proceeds to discuss the relationship between both the symptoms of dispersion-thirst and the disease itself, according to traditional Chinese medicine, and the modern medical definition of diabetes. Clinically doctors often use the idea of “three excesses and one deficiency” as the basis for beginning to diagnose diabetes. However the symptom “one deficiency”, which refers to becoming emaciated, is often the focus of investigation for many an article due to the fact that modern medicine considers being overweight an important factor in causing diabetes. So, is there an area of contradiction between the two diseases or not? In this article I will offer my humble opinion in order to reach a more reasonable explanation.