仝小林教授运用小陷胸汤治疗2型糖尿病的辨证要点分析  

Professor TONG Xiao-lin's Experiences in Investigating the Main Symptoms of Syndrome in the Treatment of Type 2 Diabetes with Xiao Xian Xiong Decoction

作　　者：金末淑[1] 陈欣燕[1] 姬航宇[1] 仝小林[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《云南中医学院学报》2011年第5期40-43,共4页Journal of Yunnan University of Traditional Chinese Medicine

摘　　要：目的:初步探讨经方小陷胸汤治疗2型糖尿病中辨证属"痰热互结"者。方法:选择2007年9月至2010年7月所有使用小陷胸汤为主治疗的2型糖尿病患者259例,对其年龄、性别、BMI、症状、舌脉等进行统计。采用描述的统计方法,描述统计资料的均值、标准差,计数资料的率及构成比。主要结果:体型肥胖的患者为小陷胸汤治疗的2型糖尿病患者主体,其中BMI大于24患者占85.89%,大于28者占33.89%,平均BMI为27.25。从舌脉上看,红舌占66.8%,黄腻苔占55.98%,沉、滑、弦、数4种脉象出现次数较多,尤以沉滑脉出现频率最高。结论:小陷胸汤的主要用药指征是形体肥胖,同时以舌苔脉为辅,适当参考临床症状进行适当加减。Objective： This article is a discussion of Xiao Xian Xiong Decoction treating Type 2 diabetes patients who belong to ＂combination of phlegm and heat＂ syndrome. Method ： Chosing 259 outdoor patients from September. 2007 to July. 2010, who were treated by the Xiao Xian Xiong Decoction. Using the descriptive statistical methods to analyze the measurement data. Describing the means, the standard deviations and the count material rates of the data. Main result ： obesity patients are the main part of the patients treated by the Xiao Xian Xiong Decoction. 85.89% patients have the BMI 〉 85.89, while 33.89% have the BMI 〉 28 . 66. 8% of patients have red tongue and 55.98% patients has yellow bored with moss. Sink, Slippery, string and fast purse can be seen the most frequently Conclusion： the main testify of using Xiao Xian Xiong Decoction is obesity. Second, the tongue and the coating should be considered. The clinic symptoms should be considered too.

关 键 词：小陷胸汤 2型糖尿病 痰热互结 辨证要点 仝小林 

分 类 号：R249[医药卫生—中医临床基础]