迟华基论治2型糖尿病理论特色和经验
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摘要
迟华基教授认为糖尿病并不等同于中医消渴,认为糖尿病的消渴阶段由"脾瘅"发展而来,临床应注重脾胃湿热因素。因此糖尿病前期治疗以清利脾胃湿热为主,后期治疗以活血养阴为主,兼以清利湿热。
Professor CHI Huaji holds that "diabetes" is not the same as "wasting and thirsting disorder" in traditional Chinese medicine,and Pi-dan develops the drinking and urine stage of diabetes. Attention should be given to the factor of dampness-heat of spleen and stomach in clinical practice. Therefore,in the early stage,treatment of diabetes should focus on eliminating dampness and heat in the spleen and the stomach and the advanced stage treatment should focus on promoting blood circulation,nourishing yin and eliminating dampness and heat.
Professor CHI Huaji holds that "diabetes" is not the same as "wasting and thirsting disorder" in traditional Chinese medicine,and Pi-dan develops the drinking and urine stage of diabetes. Attention should be given to the factor of dampness-heat of spleen and stomach in clinical practice. Therefore,in the early stage,treatment of diabetes should focus on eliminating dampness and heat in the spleen and the stomach and the advanced stage treatment should focus on promoting blood circulation,nourishing yin and eliminating dampness and heat.
引文
[1]刘佳,肖焕波,袁作雄,等.中国成年人群糖尿病筛查肥胖相关身体测量指标分布特征及其适宜切点[J].中国公共卫生,2017,33(2):173-176.
[2]游硕,张清,周智广.糖尿病基因治疗的研究新进展[J].国际病理科学与临床杂志,2011,31(1):69-72.
[3]史洪波,蔡强.降糖药临床不良反应综述[J].中国药物警戒,2013,10(3):159-162.
[4]柯俊,汤文璐. 2006-2010年上海市口服抗糖尿病药物的不良反应报告分析[J].中国临床药学杂志,2011,20(6):351-356.
[5]井文贵,田双彦,宋哲.糖尿病治疗药物常见不良反应[J].临床误诊误治,2012,25(5):100-102.
[6]赵兵.消渴述源[J].吉林中医药,2002,22(2):1-2.
[7]向茗,林湘东,何军锋,等.中西医病名对照诊断模式的思考[J].北京中医药大学学报,2015,38(7):447-449.
[8]郭凤莲.消渴与糖尿病的概念亟需澄清[J].上海中医药杂志,2000,34(3):14-16.
[9]松泽正俊,范玉荣.近来日本糖尿病的临床特点分析[J].南京中医药大学学报(自然科学版),2001,17(2):131-132.
[10]王午喜,屈宗杰,朱爱冬.重庆市社区10932名普通居民糖尿病流行病学调查分析[J].重庆医学,2013,42(26):3149-3150,3153.
[11]迟华基.《黄帝内经》“消瘅”发微[N].中国中医药报,2007-12-24(005).
[12]乔玉秋,刘培先.中老年糖尿病从痰论治[J].山东中医杂志,1995,14(4):152-153.
[2]游硕,张清,周智广.糖尿病基因治疗的研究新进展[J].国际病理科学与临床杂志,2011,31(1):69-72.
[3]史洪波,蔡强.降糖药临床不良反应综述[J].中国药物警戒,2013,10(3):159-162.
[4]柯俊,汤文璐. 2006-2010年上海市口服抗糖尿病药物的不良反应报告分析[J].中国临床药学杂志,2011,20(6):351-356.
[5]井文贵,田双彦,宋哲.糖尿病治疗药物常见不良反应[J].临床误诊误治,2012,25(5):100-102.
[6]赵兵.消渴述源[J].吉林中医药,2002,22(2):1-2.
[7]向茗,林湘东,何军锋,等.中西医病名对照诊断模式的思考[J].北京中医药大学学报,2015,38(7):447-449.
[8]郭凤莲.消渴与糖尿病的概念亟需澄清[J].上海中医药杂志,2000,34(3):14-16.
[9]松泽正俊,范玉荣.近来日本糖尿病的临床特点分析[J].南京中医药大学学报(自然科学版),2001,17(2):131-132.
[10]王午喜,屈宗杰,朱爱冬.重庆市社区10932名普通居民糖尿病流行病学调查分析[J].重庆医学,2013,42(26):3149-3150,3153.
[11]迟华基.《黄帝内经》“消瘅”发微[N].中国中医药报,2007-12-24(005).
[12]乔玉秋,刘培先.中老年糖尿病从痰论治[J].山东中医杂志,1995,14(4):152-153.