摘要
“凡十一脏,取决于胆”是五脏六腑取决于胆的中医理念,中医以此强调胆在临床治疗中的重要性。此论述首见于《素问·六节藏象论篇》,后世医家从“胆”论治多种疾病的思想概发源于此,临证发挥从胆论治可以起到执简驭繁的指导作用。糖尿病性胃轻瘫是糖尿病胃肠植物神经病变,典型症状为腹胀、厌食、恶心、呕吐、体质量减轻等,通常在餐后较为严重。目前西医多从控制自身血糖、配合促胃肠动力药、促进胃排空、营养神经等方面改善患者临床症状。西医治疗手段缺乏针对性,且长期服用西药不良反应多,病情易反复。中医辨证论治糖尿病胃轻瘫着眼于“胆”,总结利胆治法方药佐以临床实践,取得了较好的疗效。文章结合案例介绍从胆论治糖尿病性胃轻瘫的经验,以期为临床提供参考。
The theory of“all eleven viscera depend on gallbladder”is the TCM concept,and TCM emphasizes the importance of gallbladder in clinical treatment.This theory was first seen in Suwen(《素问》).Later generations of doctors treated many diseases based on this theory,and this thought played a guiding role in treatment.Diabetic gastroparesis is a diabetic gastrointestinal plant neuropathy.Typical symptoms are abdominal distension,anorexia,nausea,vomiting,weight loss,etc.,and the symptoms are usually more serious after a meal.At present,Western medicine mainly improves the clinical symptoms of patients by controlling its own blood glucose,promoting gastrointestinal motility drugs,promoting gastric emptying and nutritional nerve.Western medicine treatment means are lack of targeted,and the long-term use of Western medicine has many adverse reactions.TCM syndrome differentiation and treatment of diabetic gastroparesis focuses on gallbladder,and summarizes the treatment of gallbladder prescription with clinical practice,which has achieved good results.This paper introduces the experience of treating diabetic gastroparesis from the theory of“all eleven viscera depend on gallbladder”,in order to provide a clinical reference.
出处
《中医临床研究》
2023年第5期31-35,共5页
Clinical Journal Of Chinese Medicine
关键词
糖尿病胃轻瘫
从胆论治
脑-肠轴
治法方药
Diabetic gastroparesis
Treating from gallbladder
Brain-intestine axis
Treatment and prescription
