中西医结合的困境与希望
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摘要
本文从中西医结合理论及其指导下的中西药联合应用入手,探讨了中西药结合治疗糖尿病的现状、困境和希望,指出中西药结合治疗糖尿病的优势和方向,并阐明当前糖尿病中西药结合治疗的主要问题是"去中医"化和中药效果不确切,从而明确了中药暂不能替代降糖西药,而中西药联合在较长时期内仍是国内治疗糖尿病的重要手段。
Under the guidance of Chinese and Western Medicine combined application, this paper combines traditional Chinese and Western Medicine theory, discussing the combination of Chinese and Western Medicine treatment of diabetes status, difficulties and hope, pointing out the advantage of combination of Chinese and Western Medicine treatment of diabetes and direction, and expounding the main problems of combination of Chinese and Western Medicine treatment of diabetes. That is "go rid of traditional Chinese medicine" and not exact effect of traditional Chinese medicine, which comes to a conclusion that, traditional Chinese medicine can′ t replace western hypoglycemic drugs,and the combination of Chinese and Western Medicine will be the main way to cure diabetes.
Under the guidance of Chinese and Western Medicine combined application, this paper combines traditional Chinese and Western Medicine theory, discussing the combination of Chinese and Western Medicine treatment of diabetes status, difficulties and hope, pointing out the advantage of combination of Chinese and Western Medicine treatment of diabetes and direction, and expounding the main problems of combination of Chinese and Western Medicine treatment of diabetes. That is "go rid of traditional Chinese medicine" and not exact effect of traditional Chinese medicine, which comes to a conclusion that, traditional Chinese medicine can′ t replace western hypoglycemic drugs,and the combination of Chinese and Western Medicine will be the main way to cure diabetes.
引文
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[6]Kojo Agyemang,Lifeng Han,Erwei Liu,et al.Recent Advances in Astragalus membranaceus Anti-Diabetic Research:Pharmacological Effects of Its Phytochemical Constituents[J].Evid Based Complement Alternat Med,2013.doi:10.1155/2013/654643.
[7]郭东臣,张惠敏,梁淑新,等.中成药治疗2型糖尿病证治-方药的调查分析[J].中成药,2015,37(2):442-456.
[8]廖丽娅,邓红艳,姜红峰.厄贝沙坦对老年H型高血压合并糖尿病患者靶器官损害的相关研究[J].中华老年心脑血管病杂志,2015,17(8):873-875.
[9]高曌,骆天炯,叶晨玉.玉泉丸对气阴两虚型接受胰岛素治疗的糖尿病患者血糖波动的影响[J].中草药,2015,46(15):2275-2278.
[10]庞博,赵进喜,王世东,等.祝谌予诊疗糖尿病学术思想与临证经验[J].世界中医药,2013,8(2):174-178.
[11]李水花,吴农田.玉泉丸联合二甲双胍治疗2型糖尿病临床观察[J].辽宁中医药大学学报,2012,14(12):163-164.
[12]Quatraro A,Giugliano D.The combination of insulin and oral hypoglycemic drugs:a continuous challenge[J].Diabete Metab,1993,19(2):219-224.
[13]Gough SC,Bode B,Woo V,et al.Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide(IDegLira)compared with its components give alone:results of a phase 3,open-label,randomized,26-week,treat-to-target trial in insulin-native patients with type 2diabetes[J].Lancet Diabetes Endocrinol,2014.doi:10.1016/S2213-8587(14)70174-3.
[14]李旖旎,加力肯.二甲双胍片联合益气养阴中药治疗2型糖尿病临床疗效观察[J].甘肃医药,2010,29(2):165-166.
[15]常雯,徐丽娜,刘怡.中西医结合治疗糖尿病[J].现代医学与健康研究电子杂志,2018,2(9):164.
[16]Jia X,Fengmei L,Linhua Z,et al.Structural modulation of gut microbiota during alleviation of type 2 diabetes with a Chinese herbal formula[J].ISME J,2014.doi:10.1038/ismej.2014.177.
[17]徐之也,夏伟,朱明锦,等.消渴丸治疗2型糖尿病随机对照试验Meta分析[J].辽宁中医药大学学报,2013,15(1):137-140.
[18]何辉,罗志宏,邓宏伟.糖尿病周围神经损伤上肢受累分布特点的研究[J].中国当代医药,2018,25(5):47-49.
[19]玄光善,潘士佳,南姬.桑叶降糖成分与二甲双胍的协同降糖作用研究[J].食品科学,2011,32(15):260-264.
[20]李颖萌,范雪梅,王义明,等.葛根芩连汤对2型糖尿病大鼠的治疗作用及其机制探讨[J].药学学报,2013,48(9):1415-1421.
[2]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013版)[S].中华糖尿病杂志,2014,6(7):449.
[3]元·朱丹溪.丹溪心法[M].北京:人民卫生出版社,2017:138.
[4]仝小林.糖络杂病论[M].北京:科学出版社,2010:23.
[5]姚蓝,辛小红,姚雪梅,等.古今中医治疗糖尿病用药异同探析[J].中国实验方剂学杂志,2013,19(18):342-345.
[6]Kojo Agyemang,Lifeng Han,Erwei Liu,et al.Recent Advances in Astragalus membranaceus Anti-Diabetic Research:Pharmacological Effects of Its Phytochemical Constituents[J].Evid Based Complement Alternat Med,2013.doi:10.1155/2013/654643.
[7]郭东臣,张惠敏,梁淑新,等.中成药治疗2型糖尿病证治-方药的调查分析[J].中成药,2015,37(2):442-456.
[8]廖丽娅,邓红艳,姜红峰.厄贝沙坦对老年H型高血压合并糖尿病患者靶器官损害的相关研究[J].中华老年心脑血管病杂志,2015,17(8):873-875.
[9]高曌,骆天炯,叶晨玉.玉泉丸对气阴两虚型接受胰岛素治疗的糖尿病患者血糖波动的影响[J].中草药,2015,46(15):2275-2278.
[10]庞博,赵进喜,王世东,等.祝谌予诊疗糖尿病学术思想与临证经验[J].世界中医药,2013,8(2):174-178.
[11]李水花,吴农田.玉泉丸联合二甲双胍治疗2型糖尿病临床观察[J].辽宁中医药大学学报,2012,14(12):163-164.
[12]Quatraro A,Giugliano D.The combination of insulin and oral hypoglycemic drugs:a continuous challenge[J].Diabete Metab,1993,19(2):219-224.
[13]Gough SC,Bode B,Woo V,et al.Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide(IDegLira)compared with its components give alone:results of a phase 3,open-label,randomized,26-week,treat-to-target trial in insulin-native patients with type 2diabetes[J].Lancet Diabetes Endocrinol,2014.doi:10.1016/S2213-8587(14)70174-3.
[14]李旖旎,加力肯.二甲双胍片联合益气养阴中药治疗2型糖尿病临床疗效观察[J].甘肃医药,2010,29(2):165-166.
[15]常雯,徐丽娜,刘怡.中西医结合治疗糖尿病[J].现代医学与健康研究电子杂志,2018,2(9):164.
[16]Jia X,Fengmei L,Linhua Z,et al.Structural modulation of gut microbiota during alleviation of type 2 diabetes with a Chinese herbal formula[J].ISME J,2014.doi:10.1038/ismej.2014.177.
[17]徐之也,夏伟,朱明锦,等.消渴丸治疗2型糖尿病随机对照试验Meta分析[J].辽宁中医药大学学报,2013,15(1):137-140.
[18]何辉,罗志宏,邓宏伟.糖尿病周围神经损伤上肢受累分布特点的研究[J].中国当代医药,2018,25(5):47-49.
[19]玄光善,潘士佳,南姬.桑叶降糖成分与二甲双胍的协同降糖作用研究[J].食品科学,2011,32(15):260-264.
[20]李颖萌,范雪梅,王义明,等.葛根芩连汤对2型糖尿病大鼠的治疗作用及其机制探讨[J].药学学报,2013,48(9):1415-1421.