首页|糖尿病辨证分型历史与现状

糖尿病辨证分型历史与现状

History and Current Situation of Syndrome Differentiations of Diabetes Mellitus

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对糖尿病辨证分型的历史资料和现代文献进行搜集整理.历史上,糖尿病的辨证分型总体上是以三消分型论治为主,现以脏腑辨证、气血津液辨证等多种辨证方法相结合,尤其重视分期论治.近年来,中医药防治糖尿病指南、标准、路径等陆续发布,促进了中医药防治糖尿病标准化的发展,对临床与科研具有重要指导作用.但各“标准”间均存在一定差异,不利于临床推广与科研.今后的研究中,应尽可能地参照临床流行病学方法,采用多中心大样本证候学调查,形成高级别循证证据;尽可能地提高各地专家参与度并形成广泛共识,最终形成既能与国际接轨又能突出中医特色且被业界认可、易于推广的标准,促进中医药防治糖尿病事业的发展.
This paper has classified historical materials and modern literature about the syndrome differentiations of diabetes mellitus.Diabetes mainly differentiated into three types in history while it combines differentiations of zang-fu,Qi,blood and body fluid as well as other methods together in modern Chinese medicine,especially emphasizes in treatment of stages.The publication of various guidelines,standards and paths which apply Chinese medicine to prevent and treat Diabetes has greatly improved standardization in diabetes prevention and treatment and leaded an important role in clinical work and research.However,there exists certain variations among different "standards",which is hard to promote in clinical work and research.We should base our future researches on clinical epidemiological methods,survey by using the multi-center and large samples to develop high-level evidence-based clinical trials,involve experts broadly and establish a wide consensus.Eventually develop into an international standard which feature Chinese medicine,be well-recognized andeasy to popularize around the world,thus contribute to the development of traditional Chinese medicine in the prevention and treatment of diabetes.

diabetesmellitusTCMsyndrome differentiation typereview

胡爱民、牛晓静、江勋

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武汉市中医医院内分泌科,武汉 430014

湖北中医药大学,武汉 430061

糖尿病 中医药 辨证分型 综述

国家中医药管理局中医药标准化项目武汉市2014年“黄鹤英才”(医疗卫生)计划

SATCM-2015-BZ154武汉市卫计委武卫[2012]70号WZ12C12

2016

中国中医基础医学杂志
中国中医研究院基础理论研究所

中国中医基础医学杂志

CSTPCDCSCD北大核心
影响因子:0.779
ISSN:1006-3250
年,卷(期):2016.22(12)
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