糖耐量低减治疗的中医组药举隅  

Examples of couplet medicines for the treatment of impaired glucose tolerance

作　　者：谷英敏[1,2] 柴可夫[1] 

机构地区：[1]浙江中医药大学,杭州310053 [2]天台人民医院,浙江天台317200

出　　处：《中华中医药杂志》2016年第4期1161-1164,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81273615);2012年浙江省中医药科学研究基金计划(No.2012 ZA133);台州市科技计划项目(No.1201Ky51)~~

摘　　要：糖耐量低减(IGT)是介于正常糖代谢和糖尿病之间的一种代谢失调状态,本阶段经有效的治疗调理可逆转,对降低糖尿病等发病率具有重要意义。IGT属于中医学"治未病"范畴,特征与《黄帝内经》中的"脾瘅"病证相类似。此期主要的病机特点是"中满内热",但其致病因素复杂、虚实互见,故治疗方法只能"谨守病机,各司其属"。文章就此提出三联对药或多联对药的"组药"概念及组配特点原则,以期能起到抛砖引玉的作用。Impaired glucose tolerance（IGT） was a decompensated condition in the transition between normality and diabetes. IGT could be reversed by effective treatment, so it could reduce the incidence of diabetes and had important significance. IGT could be classified as the category of ‘preventive treatment of disease＇ in traditional Chinese medicine. It was similar to the syndrome of ‘pidan＇ in Inner Canon of Yellow Emperor. The main characteristic of its pathogenesis was ‘flatulence and endogenous heat＇, but the pathogenic factor was complex, and the syndrome of deficiency and excess was existed together, so the treatment of IGT should be ‘watching pathogenesis cautiously and differentiating category carefully＇. In this paper, the conception of ‘couplet medicines＇ of Chinese medicine including triple combination of Chinese medicine or multiple pairs of Chinese medicine, and the principle of compatibility were introduced, in order to throw away a brick in order to get a gem.

关 键 词：糖耐量减低 脾瘅 组药 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]