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作 者:胡谦锋 周春祥[1] 刘仲书 陈沁磊[1] 王一[1]
机构地区:[1]南京中医药大学基础医学院伤寒教研室,江苏南京210046
出 处:《辽宁中医杂志》2016年第6期1335-1338,共4页Liaoning Journal of Traditional Chinese Medicine
基 金:国家自然科学基金面上项目(81273639);青年科学基金资助项目(812734585)
摘 要:2型糖尿病(T2MD)已成为当今社会严重危害人类健康的疾病,近年来,很多医家在长期的临床实践中观察发现"阴虚燥热"学说并不能完全用来解释和指导治疗T2MD,在临床上还存在着大量以痰湿内蕴为主要证型的T2MD患者,而运用祛痰化湿法治疗可以取得令人满意的临床疗效。作者查阅了近年来对痰湿内蕴型T2MD研究的相关文献,从对痰湿型T2MD的病因病机、体质、中药复方与单方的临床研究与实验研究进行了梳理,为中医药防治T2MD提供了理论依据,开辟了一条新的途径。但是临床上以气阴两虚为本,燥热为标的T2MD患者仍然多见,治疗时不能一概而论,必须在中医理论指导下遵循辨证论治,发挥中西医各自长处,以取得更好的临床疗效。Type 2 diabetes mellitus( T2DM) has become today’s society serious harm to human health and disease. In recent years,many doctors in the long- term clinical practice observation have found dryness- heat due to deficiency of Yin theory can not fully explain and guide the treatment of T2 DM. In clinic,there are a lot of T2 DM patients who have internal accumulation of phlegm- damp syndrome and the use of phlegm- dampness- resolving treatment can obtain satisfactory clinical efficacy. The author reviewed the relevant literature in recent years from the clinical and experimental study on the etiology and pathogenesis of phlegm- dampness type of T2 DM,constitution and the traditional Chinese medicine prescriptions,providing a theoretical basis for the Chinese medicine in prevention and treatment of T2 DM and opening up a new path. But in clinic,T2 DM patients due to deficiency of both qi and Yin are still common and the treatment can not be generalized and must be under the guidance of the theory of traditional Chinese medicine( TCM) and play the advantages of integrated traditional Chinese and Western medicine to achieve better clinical efficacy.
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