于世家教授中西医结合治疗新诊断2型糖尿病经验总结（附病案二例）

【作者】 于占勇；

【导师】 于世家；

【作者基本信息】 辽宁中医药大学 ， 中西医结合临床， 2008， 硕士

【摘要】 糖尿病,是临床常见的内分泌系统疾病之一,其死亡率在发达国家仅次于心血管、恶性肿瘤,成为世界第三大疾病。近年来,世界各国特别是发展中国家2型糖尿病的患病率均有急剧增加的趋势,这也是造成全球糖尿病患者总数剧增的主要原因。随着现代医学对于本病研究的不断深入,新诊断2型糖尿病的合理治疗在2型糖尿病的治疗全程中占有越来越重要的位置。祖国传统医学对2型糖尿病的认识历史悠久,属于祖国医学“消渴”范畴。古代医籍对本病病因病机及辨证论治的记载比较详细。导师于世家教授从事内分泌系统疾病临床研究25年,在糖尿病的中西医结合治疗方面积累了丰富的经验。他认为,传统的“三消”辩证理论已不能满足临床需要,根据消渴的证候表现及舌脉等征象,可将其辨证分为阴虚燥热型、气阴两虚型、气阴两虚兼血瘀型和阴阳两虚兼血瘀型,临床上新诊断2型糖尿病患者以前二者多见。临床治疗中,导师倡导中医辨证与西医辨病相结合的诊断模式,中药改善临床症状、控制并治疗慢性并发症、提高生存质量与西药控制血糖水平、保护β细胞功能、消除胰岛素抵抗因素相结合的治疗模式,中西医优势互补,取得了满意的临床疗效。更多还原

【Abstract】 As an endocrinopathy, diabetes mellitus, or“tangniaobing”for short in Chinese, is a commonly encountered disease, and the rate of death is next to angiocardiopathy and tumor. For the past few years, the rate of type 2 diabetes is increasing rapidly especially in the developing countries, in the wake of the elevation of the living standard and the number of adipositas. It is the main reason why the accrescence of grand total of diabetics is so rapid. More and more clinical evidences confirm, rational therapy of newly diagnosed type 2 diabetes mellitus is more and more important in the prog. Knowledge about diabetes mellitus in the Traditional Chinese Medicine theory has a long history. Diabetes mellitus is usually regarded as the category of“XiaoKe”. In Traditional Chinese Medicine ancient books, diabetes mellitus have been described in detail. Professor Yu Shi-jia, is engaged in treating diabetes with integrated Traditional Chinese Medicine and Western Medicine for 25 years. In his opinion, the orthodox theory of three types of diabetes can not satisfy the clinical demands, according to different clinical presentations and the signs of tongue and pulse, there are four syndromes of diabetes, yin asththenia and dryness-heat, deficiency of both vital energy and yin, deficiency of both vital energy and yin and blood stasis, asthenia of both of yin and yang and blood stasis.The first and the second types are commom in newly diagnosed type 2 diabetes mellitus. Prof. Yu advocates the principal of treating diabetes with integrated Traditional Chinese Medicine and Western Medicine, the diacrisis mode of the combination of differential diagnosis of diseases and differentiation of symptoms and signs Western medicine controls the blood glucose, abscises the factors of insulin resistance, and Chinese medicine improves clinical complaints, controls chronic concurrent diseases, improves quality of life, derived satisfactory curative effects.更多还原