中医药治疗糖尿病血糖波动研究进展  

Research progress in TCM for the treatment of blood glucose fluctuation in diabetes

作　　者：刘丹丹 刘维斌 雷涛[2] 沙雯君 徐碧林[2] Liu Dandan;Liu Weibin;Lei Tao;Sha Wenjun;Xu Bilin(Master Degree Student of Grade 2022,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China;Master Degree Student of Grade 2023,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China;Department of Endocrinology,Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China)

机构地区：[1]上海中医药大学,上海200062 [2]上海中医药大学附属普陀医院内分泌科,上海200062

出　　处：《国际中医中药杂志》2024年第12期1672-1676,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81774083);上海市普陀区卫生健康系统科技创新项目(ptkwws201911);上海市卫生健康委员会科研项目(202240309)。

摘　　要：现代中医或从脾、肾、肝、胆、小肠等脏腑,或从中焦,或基于阴火论,或从玄府郁闭角度,或从气化角度论治血糖波动。临床中,血糖波动主要分为气阴两虚、阴阳两虚、火热炽盛、肝胃郁热4个证型。中药复方可通过改善胰岛素抵抗、调控肠道菌群、促进胰高血糖素样肽-1分泌、抗氧化应激等多途径改善血糖波动。Modern TCM understands the pathogenesis of blood glucose fluctuation mainly from the viscera(spleen,kidney,liver,bile,small intestine),middle energizer,"yin fire theory","Xuanfu depression"and"qi transformation".In clinic,blood glucose fluctuation is mainly divided into four syndrome types:qi-yin deficiency syndrome,yin-yang deficiency syndrome,exuberance of fire and heat syndrome,and heat stagnation in liver-stomach syndrome.TCM compounds can improve blood glucose fluctuation by improving insulin resistance,regulating intestinal microflora,promoting the secretion of glucagon-like peptide-1,and fighting oxidative stress.

关 键 词：糖尿病 血糖波动 中医药 综述 

分 类 号：R259[医药卫生—中西医结合]