酸苦调敛法辨治糖尿病心脏自主神经病变

孙雪梅; 张蒙; 毛晨晗; 董其美; 王新东

doi:10.14148/j.issn.1672-0482.2021.0570

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酸苦调敛法辨治糖尿病心脏自主神经病变

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酸苦调敛法辨治糖尿病心脏自主神经病变
Syndrome Identification and Treatment of Diabetic Cardiac Autonomic Neuropathy by the Method of Regulating Astringency with Sour and Bitter Flavors
1.南京中医药大学第三临床医学院，江苏　南京　210028
2.南京中医药大学附属中西医结合医院，江苏　南京　210028
DOI：10.14148/j.issn.1672-0482.2021.0570

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孙雪梅, 张蒙, 毛晨晗, 等. 酸苦调敛法辨治糖尿病心脏自主神经病变[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2021.0570

SUN Xue-mei, ZHANG Meng, MAO Chen-han, et al. Syndrome Identification and Treatment of Diabetic Cardiac Autonomic Neuropathy by the Method of Regulating Astringency with Sour and Bitter Flavors[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2021.0570
孙雪梅, 张蒙, 毛晨晗, 等. 酸苦调敛法辨治糖尿病心脏自主神经病变[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2021.0570 DOI：

SUN Xue-mei, ZHANG Meng, MAO Chen-han, et al. Syndrome Identification and Treatment of Diabetic Cardiac Autonomic Neuropathy by the Method of Regulating Astringency with Sour and Bitter Flavors[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.14148/j.issn.1672-0482.2021.0570 DOI：

摘要

总结全国老中医药专家学术经验继承工作指导老师董其美对糖尿病心脏自主神经病变（DCAN）的辨治经验，认为其核心病机为心火内炽、胃强脾弱、营卫失和、心神扰动，提出以调为基、以味统方、酸苦调敛的治则治法，并在这一学术思想指导下运用连梅汤、黄芪桂枝五物汤化裁进行治疗，取得较好的临床疗效。

Abstract

Summarize the experience of syndrome identification and treatment of diabetic cardiac autonomic neuropathy by Dong Qimei, the instructor of the inheritance of academic experience of national distinguished Chinese medicine experts. It is believed that the core pathogenesis of the disease is internal blazing of heart fire, stomach preponderance and spleen weakness, disharmony between nutritive qi and defensive qi, and the disturbance of the heart spirit. Thus, it is proposed that the treatment method is based on regulating, together with unifying formula with medicinal flavor and regulating astringency with sour and bitter flavors. Under the guidance of this academic philosophy, we have used Lianmei decoction and Huangqi Guizhi Wuwu decoction to treat the disease with good clinical efficacy.

关键词

糖尿病心脏自主神经病变酸苦调敛心悸连梅汤黄芪桂枝五物汤

Keywords

diabetic cardiac autonomic neuropathyregulating astringency with sour and bitter flavorspalpitationLianmei decoctionHuangqi Guizhi Wuwu decoction

references

VINIK AI, ZIEGLER D. Diabetic cardiovascular autonomic neuropathy [J]. Circulation, 2007, 115(3): 387-397.

AGASHE S, PETAK S. Cardiac autonomic neuropathy in diabetes mellitus[J]. Methodist Debakey Cardiovasc J, 2018, 14(4): 251-256.

TESFAYE S, BOULTON AJ, DYCK PJ, et al. Diabetic neuropathies: Update on definitions, diagnostic criteria, estimation of severity, and treatments[J]. Diabetes Care, 2010, 33(10): 2285-2293.

黄帝内经素问[M].北京: 人民卫生出版社, 2017: 46,14,74,9.

杨云姣, 赵杰, 陶丽玲, 等.从阴火论治糖尿病研究进展[J].云南中医中药杂志, 2020, 41(8): 75-78.

李东垣.脾胃论[M].北京: 中国中医药出版社, 2007: 30-31.

张锡纯.医学衷中参西录[M].石家庄: 河北人民出版社, 1957: 158.

王惟一.难经集注[M].北京: 中国医药科技出版社, 2019: 79-80.

叶天士.临证指南医案[M].北京: 人民卫生出版社, 2018: 107-108.

灵枢经[M].北京: 人民卫生出版社, 2005: 53-54.

彭草云, 阮月芳.叶天士酸苦泄热法探讨[J].中华中医药杂志, 2015, 30(4): 1089-1090.

难经[M].北京: 科学技术文献出版社, 2010: 36-37.

凡永杰, 黄森宇, 刘原, 等.桂枝汤及其类方治疗心血管疾病的研究进展[J].辽宁中医杂志, 2019, 46(8): 1766-1768.

张仲景.伤寒论[M].上海: 上海科学技术出版社, 2018: 13.

张介宾.景岳全书[M].北京: 人民卫生出版社, 1991: 255-262.

CHEN J, CAI J, WEI M, et al. Effects of Guizhi decoction for diabetic cardiac autonomic neuropathy: A protocol for a systematic review and meta-analysis[J]. Medicine, 2020, 99(39): e22317.

李东垣.青囊药性赋[M].北京: 中国中医药出版社, 2015: 113.

缪希雍.神农本草经疏[M].太原: 山西科学技术出版社, 2013: 434.

吴瑭.温病条辨[M].北京: 人民卫生出版社, 2012: 111-114.

张仲景.金匮要略[M].北京: 中国医药科技出版社, 2018: 1.

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