2型糖尿病湿热困脾证病因病机  

Study on Etiology and Pathogenesis of Damp-heat Trapping Spleen Syndrome in Type 2 Diabetes Mellitus

作　　者：郭美玲 赵美怡 高天舒[2] GUO Meiling;ZHAO Meiyi;GAO Tianshu(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2020年第5期141-143,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：2型糖尿病(Type 2 diabetes millitus,T2DM)是一组由遗传因素和环境因素协同作用引起的以高血糖为特征的常见代谢紊乱性疾病。最新的流行病学调查显示,中国成年2型糖尿病的发病率已上升至11.6%,居全世界之首,对于我国乃至全人类生命健康及经济情况造成了巨大的负担。中医中药在改善糖尿病的症状方面疗效显著,在糖尿病酮症酸中毒等危急重症的治疗中亦发挥独特的作用,仝小林教授在临床运用黄连最大剂量可达120g,可较好的缓解症状,降低血糖。目前对于2型糖尿病的病症呈现百家争鸣的状态,高天舒教授结合古今中外文献及多年的自身临床经验认为湿热蕴脾证在2型糖尿病患者中属于最多见的证型。从"湿热致消"的角度探讨2型糖尿病患者的发病原因及其机制,为临床治疗提供了良好的方案。Type 2 diabetes millitus(T2 DM)is a group of common metabolic disorders characterized by hyperglycemia caused by the synergy between genetic and environmental factors.The latest epidemiological survey shows that the incidence of adult type 2 diabetes in China has risen to 11.6%[1],ranking the first in the world,and it has placed a huge burden on the health and economic situation of our country and even human beings.Traditional Chinese medicine has a remarkable effect in improving the symptoms of diabetes.It also plays a unique role in the treatment of critically ill patients such as diabetic ketoacidosis.Professor TONG Xiaolin used Huanglian(coptis)with a maximum dose of 120 g in clinical practice,which can better relieve symptoms and reduce blood glucose.At present,the syndrome of type 2 diabetes presents a state of contending.Professor GAO Tianshu combines ancient and modern Chinese and foreign literature and years of his own clinical experience to believe that the damp-heat trapping spleen syndrome is the most common type of patients with type 2 diabetes.This articlediscussed the causes and mechanisms of type 2 diabetes patients from the perspective of"damp-heat leading to diabetes",and provided a good solution for clinical treatment.

关 键 词：2型糖尿病 湿热困脾 病因病机 湿热致消 

分 类 号：R255.4[医药卫生—中医内科学]