摘要
以广安门医院内分泌科中2型糖尿病性周围神经病合并胰岛素抵抗患者为例,邀请仝小林院士进行教学查房,对2型糖尿病性周围神经病合并胰岛素抵抗的中医辨治思路、疾病发展、诊疗要点进行阐述。仝院士在查房过程中强调辨别瘦型糖尿病和肥胖型糖尿病异同,把握疾病发展的不同趋势。糖尿病通常合并胰岛素抵抗,但瘦型糖尿病患者胰岛功能衰竭速度快,甚至初期便能表现出胰岛功能损伤,以脾虚为核心病机,在治疗中应注重补脾益气,从脾论治,运用态靶辨治体系,提高临床疗效。
Using a case study of invited academician Tong Xiaolin during teaching ward rounds for a patient with type 2 diabetic peripheral neuropathy complicated with insulin resistance in the Department of Endocrinology of Guang'anmen Hospital as an example,this article elaborates on the traditional Chinese medicine diagnostic and treatment strategies,the progression of the diseases,and key points in diagnosis and treatment of type 2 diabetic peripheral neuropathy combined with insulin resistance.It is believed that emphasis should be placed on distinguishing the similarities and differences between lean diabetes mellitus and obese diabetes mellitus,and grasping the distinct trends of disease development.Although diabetes mellitusis type 2 is usually combined with insulin resistance,the failure rate of islet function in lean diabetes mellitus type 2 patients is accelerated,and even in the early stage of disease,islet function can be damaged.Therefore,the core pathogenesis should be spleen deficiency.In the treatment,attention should be paid to invigorating spleen and replenishing Qi according to the theory of spleen treatment,and using the statetarget treatment based on syndrome defferentiation system to improve clinical efficacy.
作者
连心逸
刘文科
田佳星
史丽伟
倪博然
倪青
LIAN Xinyi;LIU Wenke;TIAN Jiaxing;SHI Liwei;NI Boran;NI Qing(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《长春中医药大学学报》
2024年第3期237-242,共6页
Journal of Changchun University of Chinese Medicine
关键词
2型糖尿病性周围神经病
胰岛素抵抗
态靶辨治
糖络并治
补脾益气
type 2 diabetic peripheral neuropathy
insulin resistance
state-target treatment
simultaneous treatment of blood glucose and collaterals
invigorating spleen and replenishing Qi
