从中医标本缓急辨证观点论治2型糖尿病  

Differentiation and treatment of type 2 diabetes from the viewpoint of TCM syndrome differentiation of symptomatic or radical treatment in acute or chronic case

作　　者：欧阳雪琴[1] 翟颖[1] 沙树伟[1] OUYANG Xueqin;ZHAI Ying;SHA Shuwei(Jilin Academy of Traditional Chinese Medicine,Changchun 130021,China)

机构地区：[1]吉林省中医药科学院,长春130021

出　　处：《吉林中医药》2021年第9期1149-1152,共4页Jilin Journal of Chinese Medicine

基　　金：吉林省科技发展计划项目(20180201087YY)。

摘　　要：消渴病机主要在于阴津亏损、燥热偏胜,病久可见气阴两虚、阴阳两虚,瘀血贯穿疾病始终。消渴病初期热象明显,标实证表现突出时,此时为急,重用清热之剂治标;热盛缓解,以本虚为突出表现时,当以益气养阴为主治本;兼有痰浊、血瘀者给予化痰、活血之品。临床所见热盛津伤证和气阴两虚夹瘀证较为常见,采用具有清热生津、开郁清胃功效的石葛消渴方及具有益气养阴、清热祛瘀功效的参精降糖颗粒辨证治疗。The pathogenesis of diabetes mainly lies in the deficiency of yin and fluid,the exuberance of drynessheat.As the disease stays over time,it may be manifested as the deficiency of both qi and yin,or the deficiency of both yin and yang,and blood stasis runs through it.In its initial stage,the disease,an acute case,is obviously manifested as the exuberance of heat,and it is necessary to administer high-dose drugs for clearing heat to treat the symptom.As the initial symptom is relieved,deficiency turns to be its prominent cause,and the methods of benefiting qi and nourishing yin should be used to treat it.Patients with turbid phlegm and static blood should be additionally given drugs for resolving phlegm and promoting blood circulation.Clinically,the syndrome of fluid damage due to exuberant heat and the syndrome of deficiency of both qi and yin with blood stasis are more common.And diabetes with the abovementioned syndromes can be effectively treated with Shige Xiaoke Recipe,which has the effects of clearing heat and promoting fluid production,relieving stagnation and clearing the stomach,or Shenjing Jiangtang Granules,which has the effects of replenishing qi and nourishing yin,clearing heat and removing blood stasis.

关 键 词：2型糖尿病 标本缓急 审因论治 石葛消渴方 参精降糖颗粒 

分 类 号：R587.1[医药卫生—内分泌]