|
|
Discussion on professor Zhang Fuli′s experience in the treatment of impaired glucose tolerance from the theory of triple energizer gasification |
LI Yanlin1 LIU Lujia2 TIAN Miao1 MA Boyan1 LIU Chunhong1 GAO Enyu1 ZHANG Fuli1 |
1.School of Basic Medicine, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.the Second Clinical Medical College, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China |
|
|
Abstract Impaired glucose tolerance (IGT) is the early stage of diabetes. At this stage, if not treated in time, the incidence of type 2 diabetes will increase with time, and it will also increase the risk of cardiovascular disease. However, this stage is highly reversible, so active intervention can effectively prevent the development of diabetes mellitus. According to professor Zhang Fuli′s many years of clinical experience, IGT belongs to the category of triple energizer disease in traditional Chinese medicine. Professor Zhang claimes that IGT is characterized by pathogenesis based on the “loss of sanjiao” and “phlegm dampness and blood stasis heat”. Based on this innovative proposal, under the guidance of the theory of triple energizer gasification, the treatment principle is the method of separation, elimination and drainage. And with Wendan Decoction as the core, to add and subtract. Then create the Huayu Wendan Decoction. It has the effect of dispersing and benefiting sanjiao, treating both dampness and heat qi and blood, taking into account both the specimen and the specimen, with excellent curative effect. In addition, the medical record is attached in the article, which provides a new idea for the treatment of impaired glucose tolerance.
|
|
|
|
|
[1] 王国珍,曾胜,江汉奇,等.自拟健脾理气祛瘀方联合二甲双胍对糖耐量减低患者胰岛素抵抗的影响[J].中国医学创新,2019,16(18):67-70.
[2] Santilli F,Zaccardi F,Liani R,et al. In vivo thromboxane-dependent platelet activation is persistently enhanced in subjects with impaired glucose tolerance [J]. Diabetes Metab Res Rev,2019,2019:e3232.
[3] 张栋蔚,王余民,徐琎.清热养阴补肾方干预治疗糖耐量减低的临床观察[J].河北中医,2018,40(11):1679-1681.
[4] 葛均波,徐水建.内科学[M].8版.北京:人民卫生出版社,2013:741.
[5] Wang L,Gao P,Zhang M,et al. Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013 [J]. Am Med Assoc,2017,317(24):2515-2523.
[6] Adam G Tabák,Herder C,Rathmann W,et al. Prediabetes:a high-risk state for diabetes development [J]. Lancet,2012,379(9833):2279-2290.
[7] 刘明辉,高俊峰.综合疗养康复对老年糖耐量减低患者预后的影响分析[J].中国疗养医学,2019,28(8):838-839.
[8] 王亮萍,张志明.阿卡波糖对糖耐量减低患者的血糖、血浆同型半胱氨酸及CRP的影响[J].实用糖尿病杂志,2019,15(1):47-48.
[9] 侯宁,黄飞翔.糖耐量减低的中医病因论治探究[J].糖尿病新世界,2017,20(3):193-196.
[10] 江勋.从“郁热”论治2型糖尿病[J].江西中医药,2017, 48(4):14-15.
[11] 林燕,邱英明.复方玉泉饮治疗气阴两虚型糖耐量减低35例[J].福建中医药,2019,50(4):7-8,11.
[12] 徐国海,严军,胡春平,等.连兰六君煎对糖耐量减低患者血清瘦素、尿酸、血脂的影响[J].现代中西医结合杂志,2019,28(18):1951-1954,2019.
[13] 王国珍,曾胜,刘文豪.自拟健脾理气祛瘀方改善糖耐量减低患者胰岛素抵抗的疗效观察[J].海南医学,2017,28(14):2352-2353.
[14] 梁静华,冯臻谛,冯胜奎,等.黄芪汤加减联合埋针疗法治疗糖耐量减低临床观察[J].河北中医,2017,39(1):109-113,134.
[15] 夏瑢.中医三焦气化理论的应用研究——对糖尿病病变机制的再探索[J].中华中医药学刊,2008,26(3):532-534.
[16] 刘贯华,闫东艳,张怀亮.张怀亮教授三焦辨证新论[J].吉林中医药,2019,39(2):144-147.
[17] 马宁.六腑的胚胎发生学探析[J].山东中医药大学学报,2018,42(6):488-495.
[18] 田合禄.《黄帝内经》三焦说探源[J].浙江中医药大学学报,2018,42(1):1-7.
[19] 谢薇,汪剑.由“三焦气化”浅议“治下焦如权”之法[J].云南中医中药杂志,2018,39(5):30-33.
[20] 赵进东,方朝晖.不同辨证方法论糖耐量减低的中医病因病机[J].中国中医基础医学杂志,2013,19(11):1251-1253,1260.
[21] 陈良珍,吴志春.护理干预对糖尿病前期人群2型糖尿病发生率的影响[J].糖尿病新世界,2017,20(15):123-124.
[22] 琚婉君,杨宏杰,郑敏,等.中医药治疗糖耐量减低的研究进展[J].上海中医药大学学报,2008,22(6):81-84.
[23] 刘卫红,张蕾,颜贤忠,等.以三焦气化理论指导脂代谢紊乱等代谢性疾病的治疗[J].辽宁中医杂志,2011,38(1):42-43.
[24] 林培政,谷晓红.温病学[M].3版.北京:中国中医药出版社,2012.
[25] 齐振强,李伟.分消走泄在慢性肾脏病湿热证治疗中的应用[J].中华中医药杂志,2018,33(5):1941-1944.
[26] 张学彬.病络学说在中医病机中的探究及其临床应用研究[D].北京:中国中医科学院,2018.
[27] 李三念,廖忠筹,张福利.气味配伍理论在温病辨证体系下的应用与意义初探[J].上海中医药杂志,2019,53(1):48-51.
[28] 田苗,马伯艳,张贺,等.化瘀温胆汤对糖耐量低减大鼠肝细胞线粒体SOD及MDA水平的影响[J].中医药学报,2018,46(2):33-35.
[29] 王甜甜,谭杰军,张福利.张福利运用分消走泄法治疗糖尿病糖耐量减低经验[J].山东中医杂志,2016,35(6):542-543.
[30] 韩裕璧.化瘀温胆汤对糖耐量低减大鼠胰岛素抵抗及AMPK信号通路的影响[D].哈尔滨:黑龙江中医药大学,2017. |
|
|
|