摘要
现代中医或从脾、肾、肝、胆、小肠等脏腑,或从中焦,或基于阴火论,或从玄府郁闭角度,或从气化角度论治血糖波动.临床中,血糖波动主要分为气阴两虚、阴阳两虚、火热炽盛、肝胃郁热4个证型.中药复方可通过改善胰岛素抵抗、调控肠道菌群、促进胰高血糖素样肽-1分泌、抗氧化应激等多途径改善血糖波动.
Abstract
Modern TCM understands the pathogenesis of blood glucose fluctuation mainly from the viscera(spleen,kidney,liver,bile,small intestine),middle energizer,"yin fire theory","Xuanfu depression"and"qi transformation".In clinic,blood glucose fluctuation is mainly divided into four syndrome types:qi-yin deficiency syndrome,yin-yang deficiency syndrome,exuberance of fire and heat syndrome,and heat stagnation in liver-stomach syndrome.TCM compounds can improve blood glucose fluctuation by improving insulin resistance,regulating intestinal microflora,promoting the secretion of glucagon-like peptide-1,and fighting oxidative stress.
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