肾气丸类方干预糖尿病前期与早期糖尿病血糖漂移的理论与应用分析  

Analysis of the Theory and Application of Shenqi Wan in Treatment of Prediabetes and Mild Diabetes with Glucose Excursions

作　　者：李小可[1] 周义浪[2] 赵丹丹[1] 张毅[1] 高思华[1] 

机构地区：[1]北京中医药大学糖尿病研究中心,北京100029 [2]贵阳中医学院第二附属医院,贵阳550003

出　　处：《世界中医药》2015年第5期793-797,共5页World Chinese Medicine

基　　金：国家国际科技合作项目(编号:2011DFA30920);国家科技重大专项资助项目(编号:2012ZX09103201-005)

摘　　要：肝脾肾足三阴亏虚是糖尿病从危险因素到并发症的整体病机概括,肝脾肾同调理论是治疗糖尿病的有效模型,该理论指导下以金匮肾气丸类方为代表的方剂在糖尿病前期干预中具有调整整体代谢、恢复血糖平衡的作用,联合小剂量促胰岛素分泌药物能有效适用于早期糖尿病血糖漂移控制不佳者,临证可结合中医气虚、阴虚为本,热、痰、瘀夹杂的病理特点具体方证辨治。The pathogenesis of diabetes , which refers how the risk factors develop complications , could be summarized as liver , spleen and kidney deficiency .This theory is an effective theoretical model in TCM .According to this theory , prescriptions which are represented by Shenqi Wan , could adjust overall metabolism and restoring blood sugar balancing in treating prediabetes .Com-bined with low-dose insulin secretion drugs , the prescriptions could be applied effectively to control blood glucose level of patients with mild diabetes and glucose excursions .In clinical practicing , the prescriptions can be modified according to the pathological characteristics such as Qi deficiency , Yin deficiency, heat, phlegm, and blood stasis.

关 键 词：肾气丸 肝脾肾同调 糖尿病前期 血糖漂移 

分 类 号：R255.4[医药卫生—中医内科学]