Study on syndrome differentiation and treatment of type 2 diabetes based on theory of incubating pathogens in Sanjiao

Qianhua YE; Junxiu CHEN; Xiaolu WAN; Xinwei FANG; Qizhi TANG

doi:10.16305/j.1007-1334.2021.2107035

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Study on syndrome differentiation and treatment of type 2 diabetes based on theory of incubating pathogens in Sanjiao

更新时间：2022-08-03

- Study on syndrome differentiation and treatment of type 2 diabetes based on theory of incubating pathogens in Sanjiao
- Shanghai Journal of Traditional Chinese Medicine Vol. 55, Issue 12, Pages: 44-47(2021)
- 作者机构：
  
  1.广州中医药大学附属广东中西医结合医院内分泌科（广东　佛山　528200）
  2.广州中医药大学第三附属医院急诊科（广东　广州　510000）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2021.2107035
  CLC：
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Qianhua YE, Junxiu CHEN, Xiaolu WAN, et al. Study on syndrome differentiation and treatment of type 2 diabetes based on theory of incubating pathogens in Sanjiao. [J]. Shanghai Journal of Traditional Chinese Medicine 55(12):44-47(2021)
DOI：

Qianhua YE, Junxiu CHEN, Xiaolu WAN, et al. Study on syndrome differentiation and treatment of type 2 diabetes based on theory of incubating pathogens in Sanjiao. [J]. Shanghai Journal of Traditional Chinese Medicine 55(12):44-47(2021) DOI： 10.16305/j.1007-1334.2021.2107035.

摘要

基于三焦伏邪理论探讨2型糖尿病的证治。由于邪气匿伏三焦，在正气亏虚，或外感六淫、七情内伤、饮食不节、劳逸失度等诱因下易导致2型糖尿病的发生、发展，而后出现相关病证。治疗上，应以清化三焦、健脾益气为大法，早期以实证为主，重在清化三焦、化浊解毒，佐以健脾益气；中晚期以健脾益气为主，清化三焦贯穿始终；急性并发症期以清热生津、直折火热为法，重在清热解毒。

Abstract

Study on syndrome differentiation and treatment of type 2 diabetes based on the theory of incubating pathogens in Sanjiao. Because of the evil was hidden in Sanjiao, diabetes was happened and developed by the deficiency of healthy qi, or the six exogenous factors, seven emotions, improper diet, overstrain and other factors, then the associated symptoms were appeared.In the treatment, we should clear heat of Sanjiao, invigorate spleen and supplement qi as the treatment methods. In the early stage, it was mainly excess syndrome, focusing on clearing heat of Sanjiao,resolving turbidity and removing toxicity, with invigorating spleen and replenishing qi. In the middle and late period, it mainly invigorated the spleen and qi, and clearing heat of Sanjiao ran through all the process. In the acute complication period, the methods of clearing heat and producing fluid and directly folding heat were taken, also clearing heat and detoxifying was the most important.

关键词

2型糖尿病三焦伏邪病机治法

Keywords

type 2 diabetesSanjiaoincubating pathogenspathogenesistreatment

references

庞国明，倪青，温伟波，等. 糖尿病诊疗全书[M]. 北京：中国中医药出版社，2016: 98.

陈家伦. 临床内分泌学[M]. 上海：上海科学技术出版社，2011: 943-956.

孙广仁，郑洪新. 中医基础理论[M]. 北京：中国中医药出版社，2012: 129-131.

狄舒男，于淼，周妍妍，等. 伏邪概念实质探析[J]. 中医药学报，2017, 45(1): 1-3.

赵明芬，安冬青，汪建萍. 试论伏邪理论的源流及发展[J]. 中医杂志，2016, 57(3): 189-192.

徐长松，刘永年. 刘永年治疗干燥综合征经验[J]. 中医学报，2021, 36(3): 566-571.

汪梓垚，张路，姚德蛟. 姚德蛟基于伏邪理论治疗癌性发热经验[J]. 湖南中医杂志，2021, 37(2): 26-27.

梁宝仪，张北平. 基于伏毒学说探讨大肠息肉的病因病机[J]. 国际中医中药杂志，2020, 42(12): 1168-1171.

TIROSH A, SHAI I, BITZUR R, et al. Changes in triglyceride levels over time and risk of type 2 diabetes in young men[J]. Diabetes Care, 2008, 31(10): 2032-2037.

BESHARA A, COHEN E, GOLDBERG E, et al. Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study[J]. J Investig Med, 2016, 64(2): 383-387.

龚海洋，张惠敏，王睿林，等. 古代医家对肥胖的认识[J]. 北京中医，2004, 23(6): 336-338.

KIM M K,HAN K,KOH E S,et al. Cumulative exposure to impaired fasting glucose and future risk of type 2 diabetes mellitus[J]. Diabetes Res Clin Pract, 2021(175): 108799.

樊建玲，张颖秋，萧毅. 空腹血糖受损向糖尿病的自然转化及影响因素分析[J]. 第二军医大学学报，2020, 41(12): 1358-1362.

孙兴利，李鸽，谌洪俊，等. 糖尿病前期中西医研究概况[J]. 湖南中医杂志，2021, 37(5): 188-190.

左娇娇，史晓伟，张定华，等. 糖尿病前期中医药研究进展[J]. 中医药临床杂志，2021, 33(1): 171-175.

李佳欣，陈思琦，葛鹏玲. 2型糖尿病胰岛素抵抗的生物学研究进展[J/OL]. 辽宁中医药大学学报，2021[2021-07-24]. http://kns-cnki-net-https.cnki.gzzyy.yuntsg.cn:2222/kcms/detail/21.1543.R.20210413.1649.038.htmlhttp://kns-cnki-net-https.cnki.gzzyy.yuntsg.cn:2222/kcms/detail/21.1543.R.20210413.1649.038.html.

潘善余，徐安妗，徐浩娟. 胰岛素抵抗中医证治浅探[J]. 新中医，2019, 51(9): 305-306.

姚庆涛，董阳，黎慧英，等. 从水谷精微分布紊乱机制探讨中医干预胰岛素抵抗的思路[J]. 云南中医中药杂志，2016, 37(12): 19-21.

唐海飞. 从“脾壅络滞”探讨肥胖2型糖尿病胰岛素抵抗的中医病机及治疗[J]. 中西医结合心血管病电子杂志，2020, 8(30): 182,190.

董久艳，岳仁宋，涂萱，等. 岳仁宋教授运用“直折火热法”治疗糖尿病酮症酸中毒经验举隅[J]. 亚太传统医药，2016, 12(22): 71-72.

宁华. 中医“直折火热法”配合强化胰岛素治疗糖尿病酮症酸中毒患者的临床效果[J]. 临床医学研究与实践，2018, 3(25): 116-117.

倪青. 救昏迷准确诊断定病性平孤危辨证用药贵神速——辨治糖尿病高渗性昏迷的经验[J]. 辽宁中医杂志，2000, 27(3): 51-52.

彭良岳，唐奇志，梁嘉朗，等. 从浊毒困脾探讨论治早期2型糖尿病经验[J]. 环球中医药，2020, 13(12): 2111-2113.

庄新茹. 黄连温胆汤加减治疗糖尿病前期（糖耐量受损IGT）湿热蕴脾证的临床研究[D]. 长春：长春中医药大学，2020.

冯佳俊. 中药黄连解毒汤治疗2型糖尿病患者的临床效果[J]. 中国处方药，2019, 17(4): 94-95.

王斌，邬金玲，吴深涛，等. 化浊解毒法干预2型糖尿病合并高脂血症临床研究[J]. 山东中医杂志，2011, 30(5): 304-306.

岳慧英，蔡东晖，裴科，等. 黄芪治疗2型糖尿病的网络药理学研究[J]. 广东化工，2021, 48(6): 37-39,29.

唐奇志，张燕华，陈聪，等. 姚氏芪薏四君子汤对2型糖尿病胰岛素抵抗的影响[J]. 新中医，2013, 45(9): 91-93.

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