[1]胡全穗,伍宗明.运用中药药对配伍优化消渴病中医防治方案临床研究[J].陕西中医,2021,(8):1084-1087.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.024]
　HU Quansui,WU Zongming.Clinical research on optimizing the TCM prevention and treatment of Xiaoke by using compatibility of herb-partners[J].,2021,(8):1084-1087.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.024]
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运用中药药对配伍优化消渴病中医防治方案临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年8期
页码:
1084-1087
栏目:
临床研究
出版日期:
2021-08-05

文章信息/Info

Title:
Clinical research on optimizing the TCM prevention and treatment of Xiaoke by using compatibility of herb-partners
作者:
胡全穗; 伍宗明
(桂林市中医医院,广西 桂林 541002)
Author(s):
HU Quansui; WU Zongming
(Guilin Traditional Chinese Medicine Hospital,Guilin 541002,China)
关键词:
2型糖尿病;  消渴;  秦伯未;  施今墨;  药对;  优化治疗
Keywords:
Type 2 diabetes;  Xiaoke;  QIN Bowei;  SHI Jinmo;  Chinese medicine pair;  Optimization preception
分类号:
R 587.1
DOI:
DOI:10.3969/j.issn.1000-7369.2020.08.024
文献标志码:
A
摘要:
目的:运用秦伯未处方公式,观察选用施今墨药对配伍辨证治疗2型糖尿病的疗效和对中医方案的影响。 方法:纯中医治疗组(A组)辨证予以“药对”组合化裁; 对照治疗组(B组)采用阿卡波糖,三餐时服用,空白对照组(C组),无任何药物干预,仅与饮食运动配合。每组各30例,疗程5个月后,观察三组餐前,餐后血糖及糖化血红蛋白的变化。 结果:三组临床疗效比较,A组临床疗效总有效率为50.00%,B组总有效率为53.33%,C组总有效率16.67%。A组与B组总有效率比较,差异无统计学意义(P>0.05)。A组、B组与C组比较,差异有统计学意义(P<0.05)。三组患者中医症候疗效比较,A组总有效率70.00%; B组总有效率46.67%。C组总有效率23.33%。A组疗效优于B组(P<0.05)。A组、B组与C组比较,差异有统计学意义(P<0.05)。药对使用情况,苍术对白术频率最高。单味药物,苍术使用最多。药对中,健脾、化湿、疏肝、活血在治疗中占有重要地位。提示消渴病机主要是中焦湿浊,肝郁脾虚,气滞血瘀。结论:按秦伯未处方公式思路,选用施今墨药对配伍出来的治疗糖尿病中药方案能有效缓解症状并降糖,但在改善症状方面要优于降血糖本身。
Abstract:
Objective:Based on Qin Bowei prescription law,to observe the clinical effect on Xiaoke treatment by using the SHI Jinmo Chinese medicine herb partners.Methods:Titally 90 cases of T2DM were collected and randomized into 3 groups,the treatment group(A)of 30 cases,the control group of 30 cases(B)and the observtion group of 30 cases(C).The group A were given Chinese madecine optimized herb-partners decoction one dose daily,the group(B)were given Acarbose 50 mg,taken with meals,the group(C)without any drup intervention but in diet and exercise.Obsrved the levels of fasting glucose(FBS),the postprandial glucose(PBS),and glycosylated hemoglobin(HblAc)at the end of 5 months.Results:After treatment,total effective rate of A,B,C group was 50.00%,53.33% and 16.67% respectively.The difference without statiscally significant was between the treat group and the Acarbose group(P>0.05),but the group A and B both were better than the group C,with statiscally significant difference(P<0.05).After treatment,total effective rate of Chinese medicine symptoms scores were 70.00%,46.67%,23.33% respectivel.The treatment group A was superior to group B(P<0.05),the treatment group A and the group B were improved better than group C(P<0.05).Among all the herb partners,the pair of Cangzhu and Baizhu was the most often used.Cangzhu was the highest frequence herb.In all,the treatments of invigorate spleen,resolve dampness,soothing the liver-Qi,invigorate blood circuation were in more important place.It reminded that the majoy of Xiaoke mainly related with Zhong-jiao damp turbidity,liver stagnation spleen deficiency,Qi stagnation blood stasis.Conclusion:Act on QIN Bowei prescription,selected and used SHI Jinmo Chinese medicine herb partners,the therapy with compatibility medicines worked well on T2DM patients to release them from disorder syndromes,also well reduce their glucose.

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备注/Memo

备注/Memo:
基金项目:广西壮族自治区中医药管理局中医药科技专项课题(GZKZ1148)
更新日期/Last Update: 2021-08-09