世界中医药
文章摘要
引用本文:向盈1,魏军平2.糖尿病伴颈动脉内膜中层增厚的中医证治特点[J].世界中医药,2015,10(06):.  
糖尿病伴颈动脉内膜中层增厚的中医证治特点
TCM Syndrome Characteristics of Diabetes and Carotid Intima-media thickening
投稿时间:2014-05-15  
DOI:10.3969/j.issn.1673-7202.2015.06.033
中文关键词:  颈动脉内膜中层厚度  糖尿病  中医证治特点
English Keywords:Carotid intima-media thickness  Diabetes  Characteristics of TCM syndrome
基金项目:中国中医科学院“名医名家传承”资助项目(编号:CM20121003)
作者单位
向盈1,魏军平2 1 总参谋部总医院解放军第309医院中医科北京100091 2 中国中医科学院广安门医院内分泌科北京100053 
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中文摘要:
      目的:本课题通过收集中国中医科学院广安门医院内分泌科2011—2012年度糖尿病颈动脉内膜中层增厚患者的症状、证候分布、舌象、脉象及中药使用情况,分析并总结出其中医证治特点。方法:根据既往病例资料,统计患者的症状、体征、舌象、脉象等基本情况,并且将各药物分别按功效、药性、药味、五脏归经、累计总剂量进行分类统计。结果:本研究发现糖尿病颈动脉内膜中层增厚患者最常见的证型为气阴两虚,最容易兼夹瘀血及湿邪。其最常见的症状除传统意义上口干、多饮、多尿外,乏力也在糖尿病伴颈动脉内膜中层增厚患者中普遍存在。糖尿病伴颈动脉内膜中层增厚最常使用的中药为茯苓,黄芪,麦冬,生地黄,太子参。按中药功效对异常组所有药物进行总结后发现使用最多的为补虚药和清热药。按中药药性分类,使用最多的为温性药和平性药。按中药药味统计,使用最多的为甘味药。结论:糖尿病伴颈动脉内膜中层增厚以气阴两虚型患者最为多见,临床上除常规使用益气养阴药物以外,还可根据其兼伴症状的不同,选择清热药类的药物对症治疗。
English Summary:
      By collecting symptoms,syndrome distribution,tongue and pulse condition and use of Chinese medicine in diabetes and increased carotid intima-media thickness patients from 2011 to 2012,the research summarized the features of Chinese medical treatment.Methods:According to the history records,the research collected symptoms and signs,tongue and pulse condition,and medication historical information.Conclusion: This study found that diabetes patients with carotid intima-media thickening were most commonly seen with syndrome of qi and Yin deficiency,accompanied by blood stasis and the dampness.In addition to the traditional symptoms such as dry tongue,thirst,polyuria,physical tiredness was also commonly seen.Usual medication included poria cocos,radix astragali,radix ophiopogonis,radix rehmanniae,radix pseudostellariae,which fell to the category of tonifying and heat-clearing,warm and neutral in nature,and sweet in taste.
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