摘要
2 型糖尿病是临床多发疾病,属于中医"消渴"范畴.运用证素辨证法对2 型糖尿病及其并发症、糖尿病伴发疾病的证素分布规律统计,结果显示:病性证素主要为气虚、阴虚、热盛、痰湿、血瘀等,病位证素多见脾、肝、肾等;糖尿病周围血管病的基本证型为肝阴虚证、阴虚内热证、气阴两虚证,糖尿病眼病演变规律为气阴两虚、湿热壅盛向气血阳虚、痰瘀湿寒的转化.综上所述,证素辨证法在2 型糖尿病的中医辨证体系中具有较为广泛的应用范围.
Abstract
Type 2 diabetes mellitus(T2DM)is a clinically common disease that belongs to the category of"consumptive thirst disease"in traditional Chinese medicine.The syndrome element differentiation method was used to statistically analyze the distribution of syndrome elements in T2DM and its complications and complications.The results showed that the main pathological syndrome elements are qi deficiency,yin deficiency,heat,phlegm dampness,blood stasis,etc,and the disease site syndrome elements are mostly spleen,liver,kidney,etc.The basic syndrome types of diabetic peripheral vascular disease are liver yin deficiency syndrome,yin deficiency internal heat syndrome,qi and yin deficiency syndrome.The evolution of diabetic eye disease is the transformation of qi and yin deficiency,dampness and heat to qi and blood yang deficiency,phlegm stasis and dampness and cold.In summary,the syndrome element differentiation method has its own unique identification system and a wide range of applications in the traditional Chinese medicine in the treatment of T2DM.