2型糖尿病从瘀血论治的理论探析  

Theory analysis of the type 2 diabetes mellitusfrom blood stasis

作　　者：王娟[1] 常柏[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津医科大学代谢病医院,天津300070

出　　处：《天津中医药》2017年第8期537-540,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81473622)

摘　　要：中医学范围内讨论的消渴病与现代医学的2型糖尿病颇为相近,传统上滋阴清热的治疗方法过于局限,而近年来应用活血化瘀法治疗2型糖尿病及并发症取得良好临床效果,"瘀血"在2型糖尿病病程中的重要作用日益显现。基于《黄帝内经》相关论述,将2型糖尿病分脾瘅期、消渴期、消瘅期3个阶段。导师常柏教授指出无论是与肥胖相关的"中满内热"阶段,具有典型临床表现的"阴虚燥热"阶段,还是多种并发症出现的"瘀阻脉络"阶段,瘀血均贯穿其中,为治疗2型糖尿病早期应用活血化瘀法提供理论依据。The discussion of diabetes in ancient Chinese medicines quite similar with type 2 diabetes mellitus of modern medicine. Due to the limitation of traditional treatment method of nourishing yin and clearing heat, and the therapeutic application of promoting blood circulation and removing blood stasis in treating type 2 diabetes and complications has achievedsatisfactory clinical effects in recent years, “blood stasis” plays an increasingly important role in the course of the type 2 diabetes mellitus. Based on the relevant research of Inner Canon of Yellow Emperor, this paper proposes that the type 2 diabetes mellitus is divided into three stages： Pidan, Xiaoke and Xiaodan stage. Whether the “middle jiaofull and endogenous heat” stage associated with obesity, the typical clinical manifestations of “yin deficiency and fire- hyperactivity” stage, or various complications of blood stasis context stage, blood stasis is always running through them. Therefore, this articleprovides atheoretical basisfor the early treatment of type 2 diabetes mellitus with promoting blood circulation and removing blood stasis.

关 键 词：瘀血 2型糖尿病 消渴病 治未病 

分 类 号：R587.1[医药卫生—内分泌]