裴瑞霞治疗2型糖尿病合并高尿酸血症经验
PEI Ruixia's Experience on Treating Type 2 Diabetes Mellitus Complicated with Hyperuricemia
DOI:10.13729/j.issn.1671-7813.Z20190833
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1.西安市中医医院,陕西 西安 710021
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张泽群, 张家林, 裴瑞霞. 裴瑞霞治疗2型糖尿病合并高尿酸血症经验[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20190833
ZHANG Zequn, ZHANG Jialin, PEI Ruixia. PEI Ruixia's Experience on Treating Type 2 Diabetes Mellitus Complicated with Hyperuricemia[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20190833
张泽群, 张家林, 裴瑞霞. 裴瑞霞治疗2型糖尿病合并高尿酸血症经验[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20190833 DOI:
ZHANG Zequn, ZHANG Jialin, PEI Ruixia. PEI Ruixia's Experience on Treating Type 2 Diabetes Mellitus Complicated with Hyperuricemia[DB/OL].(2023-08-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20190833 DOI:
主要从西安市名中医裴瑞霞主任医师,通过结合国家级名老中医高上林的学术思想,与长期临床实践总结的学术经验,而诊疗2型糖尿病合并高尿酸血症方向进行论述。裴老师诊病崇尚“气机升降失调之病机”“三因制宜”以及“治未病”思想,因此在临床上常常运用上述3种学术思想进行辨证施治。她认为部分2型糖尿病合并高尿酸血症早期,可通过辨证论治,从而达到气机调和、阴平阳秘的平和状态,帮助人体解除高血糖、高尿酸血症的状态。目前,这两种病合而并发在临床十分常见,裴老师认为它们在现代医学都属于内分泌代谢性疾病,具体分属两种疾病,目前西医发病原因、发病机制尚不清楚,可以明确的是均与饮食有关,但是裴老师认为从中医思路进行辨治时,究其根本,始因饮食不节,影响气机运行,最终导致气机升降失调,致脾胃虚弱,脾升胃降功能减退,导致湿热、痰浊、瘀血内生,阻滞经络、关节、甚至脏腑,从而发病,因此在治疗时立足于调畅气机,健脾和胃,兼清利湿热、化痰泄浊、活血化瘀等治疗方法,裴老师在临床辨治时,紧扣病因病机,善于把握恩师“见脏休治脏,见腑休治腑”的重要思想,善用经方,组方简洁,用药轻灵,经过临床初探,发现着手成春。
This article mainly discussed the chief physician PEI Ruixia’s experience on diagnosis and treatment of type 2 diabetes mellitus complicated with hyperuricemia. PEI Ruixia is a famous traditional Chinese medicine in Shaanxi Province. Through combining the academic thought of the national famous Chinese medicine physician GAO Shanglin in Enshi and long-term clinical practice, chief physician PEI advocates the thought of "Qi movement disorder being the pathogenesis", "adjusting measures to three factors" and "treating diseases before they are onset". Therefore, the above three academic ideas are often used in clinic for syndrome differentiation and treatment. She believes that some patients with early type 2 diabetes mellitus complicated with hyperuricemia can be treated by syndrome differentiation of traditional Chinese medicine, so as to achieve the balance of Qi, body fluid, Yin and Yang, and help the body relieve the state of hyperglycemia and hyperuricemia. At present, the combination of these two diseases is very common in clinical practice. Chief physician PEI believes that they belong to endocrine and metabolic diseases in modern medicine. They are specifically divided into two diseases. At present, the etiology and pathogenesis of Western medicine are not clear. It is clear that both diseases are related to diet, but chief physician PEI believes that we should differentiate them from the thinking of traditional Chinese medicine. The root cause of the disease is inappropriate diet, which affects the movement of Qiand eventually leads to the disorder of Qi, deficiency of spleen and stomach, hypofunction of ascending and descending of spleen and stomach, endogenous damp-heat, phlegm turbidity and blood stasis, obstruction of meridians, joints and even Zang-fu organs, and thus causing the disease. Therefore, the treatment is based on regulating Qi, invigorating spleen and stomach. Chief physician PEI is good at grasping the important idea of "not treating Zang-organs or Fu-organs when there are manifestation of Zang or Fu organs", making good use of classical prescriptions, concise prescriptions and light medication. After preliminary clinical exploration, it is effective.
2型糖尿病高尿酸血症名医经验
type 2 diabetes mellitushyperuricemiaexperience of famous doctors
韩玲玲, 樊海瑞, 林明珠, 等. 槐花醇提物对2型糖尿病合并高尿酸血症小鼠疗效研究[J]. 中药材, 2017, 40(11): 2697-2700.
薛白, 高汝钦, 刘丽, 等. 高尿酸血症史对糖尿病人群归因危险度的分析[J]. 中国医药导报, 2018, 15(24): 42-44.
中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志, 2018, 38(4): 292-344.
文志勇, 毛萍, 黄思超, 等. 高尿酸血症患者降尿酸药物治疗的合理性分析[J]. 临床合理用药杂志, 2019, 12(16): 1-2.
张轶伟, 郝春艳, 杜毓锋. 高尿酸血症合并阻塞型睡眠呼吸暂停低通气综合征老年患者颈动脉硬化的临床分析[J]. 中国药物与临床, 2019, 19(7): 1074-1075.
张亚琴, 陈明卫. 高尿酸血症与成人甲状腺结节的相关性研究Meta分析[J]. 现代医药卫生, 2019, 35(11): 1605-1608.
王建, 刘辉, 范静平. 老年人听力与高尿酸血症的相关性分析[J]. 上海医药, 2017, 38(4): 54-56.
李丰琴, 叶志斌. 高尿酸血症与糖尿病及其并发症研究进展[J]. 中国实用内科杂志, 2017, 37(6): 569-572.
陈玥颖, 薛鸾. 高尿酸血症中医认识与治疗概述[J]. 世界中西医结合杂志, 2017, 12(6): 881-884.
仝小林, 刘文科. 论膏浊病[J]. 中医杂志, 2011, 52(10): 816-818.
姜德友, 林静. 消渴病源流考[J]. 辽宁中医杂志, 2007, 34(10): 1373-1377.
马丽丽, 王先敏. 新疆高尿酸血症痰浊阻滞证、非痰浊阻滞证与炎性因子蛋白水平相关性研究[J]. 中医药临床杂志, 2019, 31(2): 199-202.
黄慧贤, 陈素珍, 王世强, 等. 中青年高尿酸血症与中医体质类型相关性研究[J]. 基因组学与应用生物学, 2017, 36(2): 488-493.
倪青, 孟祥. 高尿酸血症和痛风中医认识与治疗[J]. 北京中医药, 2016, 36(6): 529-535.
廖军. 中医分型治疗高尿酸血症100例[J]. 中国中医药现代远程教育, 2014, 12(17): 34-36.
杨淑芬, 潘新. 高尿酸血症的中药治疗机制研究进展[J]. 中国中医急症, 2019, 28(7): 1307-1309.
许洪波, 周瑞, 谢培, 等. 27种中草药的黄嘌呤氧化酶抑制活性筛选[J]. 时珍国医国药, 2017, 28(3): 41-42.
周翔, 陈志亮, 熊秀林, 等. 化湿降浊方对高尿酸血症大鼠血清尿酸及肝脏黄嘌呤氧化酶、肝肾功能的影响[J]. 中医药导报, 2017, 23(18): 23-25.
王丽丽. 丹溪痛风加减方对尿酸性肾病大鼠肝脏XOD活性及肾脏URAT1mRNA表达的影响[D]. 哈尔滨: 黑龙江省中医药科学院, 2018.
周盼, 徐先祥, 李沧海, 等. 中药干预尿酸转运体研究进展[J]. 中药药理与临床, 2015, 31(6): 226-230.
史珅, 张荣涛, 尚小玉, 等. 葛根提取物对高尿酸血症大鼠血尿酸的影响[J]. 食品科技, 2014, 39(2): 216-220.
郭强, 裴红艳. 自制中药方剂治疗高尿酸血症的临床疗效分析[J]. 中医临床研究, 2018, 10(28): 58-59.
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