酸苦调敛法辨治糖尿病心脏自主神经病变  

Syndrome Identification and Treatment of Diabetic Cardiac Autonomic Neuropathy by the Method of Regulating Astringency with Sour and Bitter Flavors

作　　者：孙雪梅[1] 张蒙[1] 毛晨晗 董其美 王新东[1,2] SUN Xue-mei;ZHANG Meng;MAO Chen-han;DONG Qi-mei;WANG Xin-dong(The Third School of Clinical Medicine,Nanjing University of Chinese Medicine,Nanjing,210028,China;Integrated Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine,Nanjing,210028,China)

机构地区：[1]南京中医药大学第三临床医学院,江苏南京210028 [2]南京中医药大学附属中西医结合医院,江苏南京210028

出　　处：《南京中医药大学学报》2021年第4期570-573,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省名老中医专家董其美传承工作室建设项目(苏中医科教〔2019〕10号);全国中医药创新骨干人才项目(国家中医药管理局办人教函〔2019〕128号);江苏省中医局科技项目(YB201922);国家自然科学基金(81973766)。

摘　　要：总结全国老中医药专家学术经验继承工作指导老师董其美对糖尿病心脏自主神经病变(DCAN)的辨治经验,认为其核心病机为心火内炽、胃强脾弱、营卫失和、心神扰动,提出以调为基、以味统方、酸苦调敛的治则治法,并在这一学术思想指导下运用连梅汤、黄芪桂枝五物汤化裁进行治疗,取得较好的临床疗效。Summarize the experience of syndrome identification and treatment of diabetic cardiac autonomic neuropathy by Dong Qimei,the instructor of the inheritance of academic experience of national distinguished Chinese medicine experts.It is believed that the core pathogenesis of the disease is internal blazing of heart fire,stomach preponderance and spleen weakness,disharmony between nutritive qi and defensive qi,and the disturbance of the heart spirit.Thus,it is proposed that the treatment method is based on regulating,together with unifying formula with medicinal flavor and regulating astringency with sour and bitter flavors.Under the guidance of this academic philosophy,we have used Lianmei decoction and Huangqi Guizhi Wuwu decoction to treat the disease with good clinical efficacy.

关 键 词：糖尿病心脏自主神经病变 酸苦调敛 心悸 连梅汤 黄芪桂枝五物汤 

分 类 号：R242[医药卫生—中医临床基础]