摘要
糖尿病合并高血压的发病机制及治疗国内外都有一定的探索,但是对于糖耐量异常合并高血压的研究却鲜有。根据多年临床经验认为糖耐量异常合并高血压证属本虚标实,治疗应从扶正祛邪出发,早期以祛邪为主,晚期注重补虚,虚实夹杂者标本兼顾,并自拟"糖异平"方,随证加减。本病分为气阴两虚、肝阳亢盛、痰浊阻滞、气虚血瘀四型,分别选糖异平方合杞菊地黄丸、天麻钩藤饮合杞菊地黄丸、半夏白术天麻汤合柴胡疏肝散与糖异平方合补阳还五汤加减,临床常取得良好效果。
The pathogenesis and treatment of diabetes mellitus with hypertension have been explored at home and abroad,but there are few studies on the impaired glucose tolerance with hypertension.According to years of clinical experience,Professor XU Yunsheng holds that the impaired glucose tolerance with hypertension pertains to the root deficiency and branch excess,and therefore the treatment should be enforcing healthy qi and dispelling pathogens.In the early stage,the treatment mainly aims at dispelling evils,in the late stage,mainly aims at tonifying the deficiency,and for the mixed deficiency and excess,the treatment should aim at both the root and branch.Professor XU has invented Tangyiping Formula(糖异平方),which is usually applied in clinic with modification.This disease could be divided into four types:deficiency of qi and yin,hyperactivity of liver yang,stagnation of phlegm and turbidity,and qi deficiency and blood stasis,which the corresponding prescriptions are Tangyiping Formula and Qiju Dihuang Pill(杞菊地黄丸),Tianma gouteng Drink(天麻钩藤饮)and Qiju Dihuang Pill,Banxia Baizhu Tianma Decoction(半夏白术天麻汤)and Chaihu Shugan Powder(柴胡疏肝散),Tangyiping Formula and Buyang Huanwu Decoction(补阳还五汤).Good clinical results are often obtained.
作者
张鑫
黄延芹
徐云生
ZHANG Xin;HUANG Yanqin;XU Yunsheng(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
出处
《山东中医杂志》
2021年第2期172-174,共3页
Shandong Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:81673966)
泰山学者工程专项经费资助项目(编号:ts201712097)。
关键词
糖耐量异常
高血压
辨证论治
糖异平
徐云生
impaired glucose tolerance
hypertension
syndrome differentiation and treatment
Tangyiping Formula
XU Yunsheng
