首页|魏子孝教授基于中盛藏满"理论治疗糖尿病性胃轻瘫的经验

魏子孝教授基于中盛藏满"理论治疗糖尿病性胃轻瘫的经验

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糖尿病性胃轻瘫(DGP)是临床常见的糖尿病并发症,具有治疗难度大、症状易反复发作的特点。魏子孝教授基于"中盛藏满"理论,认为DGP以食积痰瘀、邪毒内盛为致病之标,中土失运、气机壅滞为发病之本,治疗应紧扣病机特点,结合症状表现,明辨标本虚实,分期进行论治。急性期以治标为重,强调祛除有形邪气,食邪积滞者,予消食导滞、和胃健脾;痰邪停聚者,予化痰祛湿、调畅气机;瘀邪阻络者,予活血逐瘀、行气通络。缓解期以治本为主,注重调复枢机运转,中阳不振者,法当升阳补气;胃气上逆者,予和胃降气;肝气郁结者,予疏肝理气,促进脾胃运化功能恢复。本文附验案1则,以期为DGP的临床诊治提供思路。
Professor Wei Zixiao's experience in the treatment of diabetic gastro-paresis based on the theory of"zhongsheng zangman"
Diabetic gastroparesis(DGP)is a common clinical complication of diabetes mellitus,which is difficult to treat and prone to recurrent symptoms.Professor Wei Zixiao believes that DGP is characterized by food accumulation,phlegm stasis and excessive pathogenic toxin based on the theory of"zhongsheng zangman",middle energizer dysfunction and qi stagnation are the root causes of the disease.Treatment should closely follow characteristics of the pathogenesis,combine symptom manifestations,distinguish between deficiency and excess of the specimen,and treat it in stages.In acute phase,the focus is on treating symptoms,emphasizing the elimination of visible evil qi,for those who accumulate and delay eating evil,treatment should be given to eliminate food stagnation,harmonize stomach and strengthen spleen;for those who have stopped the accumulation of phlegm evil,a phlegm resolving and dampness dispelling and qi regulating machine should be given;for those with blood stasis and obstruction of the meridians,promote blood circulation,remove blood stasis and promote qi circulation to unblock the meridians.During relief period,the main focus is on addressing the root cause and emphasizing the restoration of cardinal's function,for those with weak central yang,the method is to raise yang and replenish qi;for those with stomach qi inversion,harmonize stomach and reduce qi;for those with liver qi stagnation,it is recommended to soothe liver,regulate qi,and promote the recovery of spleen and stomach function.One case is attached to this article in order to provide ideas for clinical diagnosis and treatment of DGP.

Diabetic gastroparesis"Zhongsheng zangman"Internal exuberance of pathogenic toxinQi stagnationExperi-ence of famous doctors

郑爽、黄珂、邹本良

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中国中医科学院西苑医院内分泌科,北京 100091

糖尿病性胃轻瘫 "中盛藏满" 邪毒内盛 气机壅滞 名医经验

中国中医科学院育苗基金培育专项北京市中医药薪火传承"新3+3"工程首批培育类"三名"传承工作室项目

ZZ11-070京中医科字[2023]126号

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(27)