厚朴、枳实、生大黄治疗2型糖尿病胃肠实热证经验--仝小林三味小方撷萃  

Experience in the Treatment of Type 2 Diabetes of Excess Gastrointestinal Excess Heat with Mangnolia Officinalis,Fructus Aurantii Immaturus and Rhei Radix et Rhizoma——Three Prescription by Professor TONG Xiaolin

作　　者：郑玉娇[1,2] 张莉莉[1] 丁齐又 苟筱雯 顾成娟 ZHENG Yujiao;ZHANG Lili;DING Qiyou;GOU Xiaowen;GU Chengjuan(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;Academician TONG Xiaolin Inheritance Studio,Shenzhen Hospital of GuangZhou University of Chinese Medicine,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029 [3]广州中医药大学深圳医院<福田>仝小林院士传承工作室,广东深圳518000

出　　处：《吉林中医药》2020年第7期865-867,共3页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金重点项目(81430097)。

摘　　要：厚朴、枳实、生大黄组成的厚朴三物汤是仝小林教授临证辨治2型糖尿病的靶方之一。中满内热,土壅木郁是该方运用的核心病机。临床运用时,厚朴作为小肠动力药,常用9~30 g以下气除满;枳实作为胃动力药,用9~15 g以破气消积;大黄作为大肠动力药,视患者肠腑燥实之轻重而用1.5~15 g以泻热通下。三者用于以脘腹胀满、大便秘结、舌红苔黄等为临床表现的2型糖尿病胃肠实热证患者,药证相应,效如桴鼓。The Houpo Sanwu decoction composed of Mangnolia officinalis,Fructus aurantii immaturus and Rhei Radix et Rhizoma is one of the targeted formulas in the clinical diagnosis and treatment of type 2 diabetes by Professor TONG Xiaolin.Abdominal flatulence and interior heat,spleen stagnation and liver depression are the core pathogenesis for using the three herbs.In clinical application,Mangnolia officinalis is used as the small intestinal motility medicine,which is usually applied in the range of 9-30 g to removing qi stasis.Fructus aurantii immaturus is used as the gastric motility medicine,with 9-15 g to explode qi stagnation.Rhei Radix et Rhizoma is used as the large intestinal motility medicine,and the usage range is from 1.5-15 g to dispel heat and facilitate defecation.The three herbs are used for type 2 diabetic patients with gastrointestinal heat syndrome,usually manifesting abdominal distension,constipation,red tongue and yellow fur.

关 键 词：2型糖尿病 厚朴 枳实 生大黄 厚朴三物汤 仝小林 

分 类 号：R259[医药卫生—中西医结合]