证素辨证法在2型糖尿病中研究现状  

Research Status of Syndrome Element Differentiation in Type 2 Diabetes Mellitus

作　　者：丁怀莹 邵岩 DING Huaiying;SHAO Yan(Endocrinology Department,Tianjin Binhai New Area Hospital of Traditional Chinese Medicine,Tianjin 300450,China)

机构地区：[1]天津市滨海新区中医医院内分泌科,天津300450

出　　处：《光明中医》2025年第4期809-812,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：天津市卫生健康委员会、天津市中医药管理局中医中西医结合科研课题(No.2021132)。

摘　　要：2型糖尿病是临床多发疾病,属于中医“消渴”范畴。运用证素辨证法对2型糖尿病及其并发症、糖尿病伴发疾病的证素分布规律统计,结果显示:病性证素主要为气虚、阴虚、热盛、痰湿、血瘀等,病位证素多见脾、肝、肾等;糖尿病周围血管病的基本证型为肝阴虚证、阴虚内热证、气阴两虚证,糖尿病眼病演变规律为气阴两虚、湿热壅盛向气血阳虚、痰瘀湿寒的转化。综上所述,证素辨证法在2型糖尿病的中医辨证体系中具有较为广泛的应用范围。Type 2 diabetes mellitus(T2DM)is a clinically common disease that belongs to the category of“consumptive thirst disease”in traditional Chinese medicine.The syndrome element differentiation method was used to statistically analyze the distribution of syndrome elements in T2DM and its complications and complications.The results showed that the main pathological syndrome elements are qi deficiency,yin deficiency,heat,phlegm dampness,blood stasis,etc,and the disease site syndrome elements are mostly spleen,liver,kidney,etc.The basic syndrome types of diabetic peripheral vascular disease are liver yin deficiency syndrome,yin deficiency internal heat syndrome,qi and yin deficiency syndrome.The evolution of diabetic eye disease is the transformation of qi and yin deficiency,dampness and heat to qi and blood yang deficiency,phlegm stasis and dampness and cold.In summary,the syndrome element differentiation method has its own unique identification system and a wide range of applications in the traditional Chinese medicine in the treatment of T2DM.

关 键 词：消渴 2型糖尿病 证素辨证法 综述 

分 类 号：R259[医药卫生—中西医结合]