世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2015年
5期
793-797
,共5页
李小可%周义浪%赵丹丹%张毅%高思华
李小可%週義浪%趙丹丹%張毅%高思華
리소가%주의랑%조단단%장의%고사화
肾气丸%肝脾肾同调%糖尿病前期%血糖漂移
腎氣汍%肝脾腎同調%糖尿病前期%血糖漂移
신기환%간비신동조%당뇨병전기%혈당표이
Shenqi Wan%Regulating liver%Spleen and kidney%Prediabetes%Glucose excursions
肝脾肾足三阴亏虚是糖尿病从危险因素到并发症的整体病机概括,肝脾肾同调理论是治疗糖尿病的有效模型,该理论指导下以金匮肾气丸类方为代表的方剂在糖尿病前期干预中具有调整整体代谢、恢复血糖平衡的作用,联合小剂量促胰岛素分泌药物能有效适用于早期糖尿病血糖漂移控制不佳者,临证可结合中医气虚、阴虚为本,热、痰、瘀夹杂的病理特点具体方证辨治。
肝脾腎足三陰虧虛是糖尿病從危險因素到併髮癥的整體病機概括,肝脾腎同調理論是治療糖尿病的有效模型,該理論指導下以金匱腎氣汍類方為代錶的方劑在糖尿病前期榦預中具有調整整體代謝、恢複血糖平衡的作用,聯閤小劑量促胰島素分泌藥物能有效適用于早期糖尿病血糖漂移控製不佳者,臨證可結閤中醫氣虛、陰虛為本,熱、痰、瘀夾雜的病理特點具體方證辨治。
간비신족삼음우허시당뇨병종위험인소도병발증적정체병궤개괄,간비신동조이론시치료당뇨병적유효모형,해이론지도하이금궤신기환류방위대표적방제재당뇨병전기간예중구유조정정체대사、회복혈당평형적작용,연합소제량촉이도소분비약물능유효괄용우조기당뇨병혈당표이공제불가자,림증가결합중의기허、음허위본,열、담、어협잡적병리특점구체방증변치。
The pathogenesis of diabetes , which refers how the risk factors develop complications , could be summarized as liver , spleen and kidney deficiency .This theory is an effective theoretical model in TCM .According to this theory , prescriptions which are represented by Shenqi Wan , could adjust overall metabolism and restoring blood sugar balancing in treating prediabetes .Com-bined with low-dose insulin secretion drugs , the prescriptions could be applied effectively to control blood glucose level of patients with mild diabetes and glucose excursions .In clinical practicing , the prescriptions can be modified according to the pathological characteristics such as Qi deficiency , Yin deficiency, heat, phlegm, and blood stasis.