摘要
中满内热是肥胖型糖尿病脾瘅阶段的核心病机,胃肠实热为常见证型之一。糖尿病患者的治疗方面,我国目前还有很大改善空间。便秘为胃肠实热的主要症状之一,西药降糖的同时对伴随症状的改善相对较少,因此许多患者求助于中医药。仝小林教授基于多年临证实践探索,提出的"态靶结合"辨证组方思想,在胃肠实热型糖尿病的辨治中得到了良好发挥。仝教授以胃肠实热为态,大便坚干,排出困难,口干口臭为"症状靶",血糖升高为"指标靶",通过知母、苦瓜、桑叶清热降糖,大黄黄连泻心汤通腑泻热,态靶同调,效如桴鼓。
Zhongmanneire is the core pathogenesis of the stage of spleen stagnation in obese diabetes mellitus,and gastrointestinal excess fever is one of the common syndromes.At present,there is still a lot of room for improvement in the treatment of diabetic patients.Constipation is one of the main symptoms of gastrointestinal excess heat.Western medicine can reduce blood sugar but less improve the accompanying symptoms,so that many patients turn to traditional Chinese medicine for help.Based on many years of clinical practice and exploration,Professor Tong Xiaolin put forward the idea of“combination of state and target”syndrome differentiation and treatment,which has played a good role in the differentiation and treatment of gastrointestinal excess heat type diabetes.Professor Tong Xiaolin believes that the gastrointestinal excess heat as the state,the stool is firm and dry,it is difficult to discharge,the dry mouth and halitosis as the“symptom target”,the blood sugar rise as the“target”,he usually use Anemarrhena,balsam pear and mulberry leaf to clear the heat and reduce the blood sugar,Dahuang Huanglian Xiexin Decoction to clear the internal organs and reduce the heat and it has significant clinical effect.
作者
顾成娟
王涵
刘文科
朴春丽
Gu Chengjuan;Wang Han;Liu Wenke;PIAO Chunli(Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian),Shenzhen 518000,Guangdong,China;Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《辽宁中医杂志》
CAS
2020年第2期1-3,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81774296)。
关键词
糖尿病
胃肠实热
态靶辨证
仝小林
大黄黄连泻心汤
Diabetes mellitus
gastrointestinal excess heat
state target syndrome differentiation
Professor Tong Xiaolin
Dahuang Huanglian Xiexin Decoction
