谨守病机和为期,范冠杰治疗糖尿病合并失眠案例1则
增强出版Professor FAN Guanjie's Experience In Treating Diabetes With Insomnia
扫 描 看 全 文
1.广东省中医院内分泌科,广东广州510120
扫 描 看 全 文
范冠杰, 李秀铭. 谨守病机和为期,范冠杰治疗糖尿病合并失眠案例1则[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601927&Fpath=home&index=0
FAN Guanjie, LI Xiuming. Professor FAN Guanjie's Experience In Treating Diabetes With Insomnia[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601927&Fpath=home&index=0
范冠杰, 李秀铭. 谨守病机和为期,范冠杰治疗糖尿病合并失眠案例1则[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601927&Fpath=home&index=0 DOI:
FAN Guanjie, LI Xiuming. Professor FAN Guanjie's Experience In Treating Diabetes With Insomnia[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601927&Fpath=home&index=0 DOI:
病史摘要,2,患者黄某,男,47岁,主因“入睡困难3年,血糖升高3月”于2020年10月13日就诊于广东省中医院门诊。患者3年前开始出现入睡困难,近1年需要服用苯二氮䓬类药物助眠,3月前体检发现血糖升高,经当地医院住院治疗,诊断为糖尿病,住院期间使用胰岛素泵皮下注射降糖,出院后患者未服降糖药物治疗。近期自觉失眠加重,血糖控制差,自测空腹血糖8.67 mmol/L,餐后血糖未监测,遂来我院寻求治疗。四诊信息:言语不多,少许口干喜冷饮,入睡困难,睡后梦多,胃纳可,二便调,舌暗红,苔薄黄,脉弦。中医诊断 消渴,不寐(肝郁化火,瘀血内阻证)。西医诊断 2型糖尿病,睡眠障碍。干预措施 予纯中药治疗,治以疏肝清热、活血化瘀为法。中药处方以“动定序贯范氏八法”的疏肝药串、活血药串随证加减。畅情志,节饮食,慎起居。疗效转归 患者逐渐停用安眠药,可自行入睡,血糖逐渐平稳。随访3月,患者无需服任何西药治疗,睡眠可,血糖控制稳定,成功运用纯中医治疗糖尿病及失眠。
Summary of case history, The patient, Mr. Huang, 47 years old, was hospitalized at the outpatient department of Guangdong Provincial Hospital of Chinese medicine on October 13, 2020 due to "difficulty in falling asleep for 3 years and increased blood sugar for 3 months". The patient had difficulty falling asleep 3 years ago and needed to take western sleeping pills for nearly 1 year. He was found to have diabetes in physical examination 3 months ago and was hospitalized in the local hospital. During the hospitalization, he used insulin pump to reduce blood sugar. After discharge, the patient did not take hypoglycemic drugs.Recently, he felt that insomnia was aggravated and blood sugar control was poor, self measured fasting blood glucose was 8.67 mmol/l, and postprandial blood glucose was not monitored,so he came to our hospital for treatment. Four diagnostic information: not much speech, a little dry mouth, prefer cold drink, difficulty in falling asleep, more dreams after sleep, with good appetite, urinate and defecate normally, dark red tongue, thin yellow fur, pulse string.,TCM diagnosis, type 2 Diabetes; iinsomnia (syndrome of liver stagnation and internal obstruction of blood stasis).,Western medicine diagnosis, type 2 diabetes;insomnia.,Therapeutic methods, It was treated with pure Chinese medicine, and the treatment method was to soothe the liver and clear away heat, activate blood circulation and remove blood stasis. The prescription of traditional Chinese medicine is based on the liver soothing medicine string and blood activating medicine string of " eight methods of dynamic-static sequential". Relax his emotions, regulate his diet, and regulate his daily life.,Clinical outcomes, The patient gradually stopped sleeping western medicine, and could sleep on his own, and the blood sugar gradually stabilized. During the follow-up of 3 months, the patient did not need to take any Western medicine, and had a good sleep and stable blood sugar control. Through Professor Fan's treatment, we can realize the treatment of diabetes and insomnia with pure Chinese medicine.
糖尿病失眠名医经验范冠杰
diabetesinsomniafamous doctor experienceFAN Guanjie
李娜.生活方式、慢性病史与成人睡眠状况的影响因素研究[D].沈阳:中国医科大学,2020.
姜德友,林静.消渴病源流考[J].辽宁中医杂志.2007,5(10):1373-1375.
鞠文雪,姚娓.失眠的中医内治、外治法临床进展[J].辽宁中医药大学学报.
符宇,范冠杰,王宇,等."动-定序贯八法"临床诊疗思维的体会与思考[J].中华中医药杂志,2017,32(12):5389-5391.
卢绮韵,李秀铭,陈本坚,等.范冠杰擅用"动-定序贯"中药药串配伍浅析[J].辽宁中医杂志,2016,43(9):1833-1834.
0
浏览量
9
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构