从脾胃肝肾论治代谢综合征1例
Treatment of Metabolic Syndrome Based on Spleen, Stomach, Liver and Kidney:A Case Report
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1.北京中医药大学东直门医院,肾病内分泌科,北京 100070
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蒋里, 王世东. 从脾胃肝肾论治代谢综合征1例[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907297&Fpath=home&index=0
JIANG Li, WANG Shidong. Treatment of Metabolic Syndrome Based on Spleen, Stomach, Liver and Kidney:A Case Report[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907297&Fpath=home&index=0
蒋里, 王世东. 从脾胃肝肾论治代谢综合征1例[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907297&Fpath=home&index=0 DOI:
JIANG Li, WANG Shidong. Treatment of Metabolic Syndrome Based on Spleen, Stomach, Liver and Kidney:A Case Report[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907297&Fpath=home&index=0 DOI:
病史摘要,2,董某,男,56岁,主因“口干口渴10年,加重伴发现尿酸升高2年”于2021年1月24日就诊。患者10年前无明显诱因出现口干口渴,伴乏力,劳动耐量下降,于社区医院体检,诊断为2型糖尿病,间断服用二甲双胍、阿卡波糖等降糖药物,未规律检测血糖及定期复查。2年前单位体检,发现血清肌酐、尿素氮异常升高,未予重视,近日查血肌酐、尿素氮继续升高,尿酸异常。刻下患者口干口渴,口中黏腻,乏力,食欲亢进,善饥,头晕头沉,头目不清,脘腹胀满,下肢沉重,腰膝酸软,皮肤时有刺痛,手足发麻,夜间明显。大便黏,排便不畅,一日1~2次,小便微有泡沫,色微黄,无尿频、尿急、尿痛。入睡可,梦多。舌暗红,舌下络脉迂曲,苔黄腻,脉细滑。中医诊断 消渴病,辨证:脾胃肝胆湿热,肾气不化,络脉瘀结西医诊断 代谢综合征;慢性肾脏病3期干预措施 西医常规降压、保护肾功能,中医根据证候演变治以清利湿热,疏利肝胆,泄浊固肾,兼以活血通络疗效转归 症状明显缓解,指标改善,病情得到有效控制。
Summary of case history, Dong, a 56-year-old male, presented to the clinic on 24 January 2021 with the main reason "dry mouth and thirst for 10 years, aggravated by elevated uric acid for 2 years". He was diagnosed with type 2 diabetes mellitus after a physical examination at a community hospital 10 years ago, and was taking metformin, acarbose and other glucose-lowering drugs intermittently, without regular blood glucose testing and periodic review. The patient has a dry mouth, thirst, sticky mouth, fatigue, hyperphagia, hunger, dizziness, dizziness, dizziness, fullness, heaviness in the lower limbs, weakness in the waist and knees, tingling in the skin and numbness in the hands and feet, which is obvious at night. The stools are sticky, with poor defecation, 1-2 times a day. The urine is slightly foamy and yellowish, without frequency, urgency or painful urination. Sleep is possible and dreams are frequent. The tongue is dark red, the veins under the tongue are tortuous, the moss is yellow and greasy, the pulse is thin and slippery.,TCM diagnosis, thirst disorder. identification: dampness and heat in the spleen and stomach, depression and heat in the liver meridian, failure to transform kidney qi and stasis in the ligaments.,Western medicine diagnosis, metabolic syndrome; chronic kidney disease stage 3,Therapeutic methods, Western medicine routinely lowered blood pressure and protected renal function.,Clinical outcomes, The symptoms were significantly relieved and the indexes improved, and the disease was effectively controlled.
脾胃肝肾代谢综合征糖尿病高尿酸血症肥胖
spleen stomach liver and kidneymetabolic syndromediabetes mellitushyperuricemiaobesity
LU Jieli,WANG Limin,LI mian,et al.Metabolic syndrome among adults in china: the 2010 china noncommunicable disease surveillance.[J].J Clin Endocrinol Metab,2017,102(2):507-515.
祝之明.老树新枝:代谢综合征的回归?[J].中华糖尿病杂志,2018,10(3):168-171.
蒋里,赵进喜,王世东,等.代谢性疾病从脾胃肝肾论治的临床思维[J].世界中医药,2022,17(1):6-9+15.
安宏,张毅,穆倩倩,等.肝脾肾同调法在代谢综合征辨治中的应用[J].环球中医药,2016,9(6):726-728..
王坤玲, 王建清. 从肝脾肾浅析代谢综合征的中医病机[J]. 新疆中医药,2011,29(5):1-3.
吕仁和,赵进喜,王世东,等.内分泌代谢病与中西医诊治[M].沈阳:辽宁科学技术出版社,2004:78-87.
刘卫国,丁晓娟,郁春.加味大柴胡汤辅助治疗急性结石性胆囊炎(肝胆湿热证)的疗效观察[J].中国中医急症,2021,30(12):2192-2194.
周强,赵锡艳,逄冰,等.仝小林教授运用大柴胡汤治疗代谢性疾病验案解析[J].环球中医药,2012,5(10):754-757.
冉雪峰.冉注伤寒论[M].北京:科学枝术文献出版社,1982:588-589.
赵进喜,李继安.中医内科学实用新教程[M]. 北京:中国中医药出版社,2018:314-316.
刘宇婷. 脂联素和炎症因子与高尿酸血症的关系及复方土茯苓颗粒的干预[D].广州:广州中医药大学,2017.
刘金畅,王涛.萆薢、土茯苓治疗高尿酸血症研究进展[J].辽宁中医药大学学报,2018,20(1):79-81.
刘鲲,刘娜,张玉珂.山楂免疫和保健作用研究[J].光明中医,2017,32(18):2727-2730.
彭丹洋.山楂精纯提取片防治代谢综合征临床疗效评估[D].上海:第二军医大学,2012.
王婵,杨颖博.荷叶的化学成分与药理活性研究进展[J].现代中药研究与实践,2020,34(4):74-81.
陈浪.荷叶降脂汤对代谢综合征患者的临床疗效及循环血ACE、AngⅡ的影响[D].杭州:浙江中医药大学,2014.
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