从肾主藏精论治冠心病合并2型糖尿病  

Treatment of Coronary Heart Disease Complicated with Type 2 Diabetes from Kidney Governing Essence

作　　者：张涛[1] 朱琳[2] ZHANG Tao;ZHU Lin(Anhui University of Chinese Medicine,Anhui Province,Wuhu 241000,China;Department of Cardiovascular Medicine,Wuhu Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Anhui Province,Wuhu 241000,China)

机构地区：[1]安徽中医药大学,安徽芜湖241000 [2]安徽中医药大学附属芜湖市中医医院心血管内科,安徽芜湖241000

出　　处：《光明中医》2024年第1期167-170,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：冠心病(Coronary Heart Disease,CHD)是当今一种常见的心血管疾病,而2型糖尿病(Type 2 Diabetes,T2D)的患者因自身多伴有血脂异常、动脉性高血压、肾脏疾病、胰岛素抵抗、凝血系统异常等原因,糖尿病也被认为是冠心病的一个危险因素。中医认为,此病为本虚表实,肾虚为两者的共同病机,发为血瘀、寒凝、痰浊、气滞等。该文主要分析导师朱琳主任诊疗经验,着重从肾为先天之本,肾主藏精角度辨证论治冠心病合并2型糖尿病的经验,并附1则医案,与同道分享。Coronary heart disease(CHD)is a common cardiovascular disease nowadays,but the patients of type 2 diabetes(T2D)are accompanied by dyslipidemia,arterial hypertension,kidney disease,insulin resistance,abnormal coagulation system and other reasons.Diabetes is also thought to be a risk factor for CHD.According to traditional Chinese medicine,this disease is asthenia in origin and asthenia in superficiality,kidney deficiency is the common pathogenesis of both,blood stasis,cold coagulation,phlegm,qi stagnation and so on.This article mainly analyzed the diagnosis and treatment experience of Zhu Lin,director of the tutor,focusing on the experience of treating coronary heart disease combined with T2D from the perspective of kidney as the basis of congenital disease,kidney governing essence,and attached a medical case to share with fellow practitioners.

关 键 词：冠心病 2型糖尿病 先天之本 肾主藏精 

分 类 号：R259[医药卫生—中西医结合]