血压水平120~139/80~89 mm Hg(1 mm Hg≈0.133 kPa)定为正常高值血压。通过患者脉象特点和临床表现,将正常高值血压分为脾虚湿盛证、肝肾阴亏证、肾阴阳两虚证、肝郁气滞证。根据临床分型,对正常高值血压的形成、影响因素及脉象进行分...血压水平120~139/80~89 mm Hg(1 mm Hg≈0.133 kPa)定为正常高值血压。通过患者脉象特点和临床表现,将正常高值血压分为脾虚湿盛证、肝肾阴亏证、肾阴阳两虚证、肝郁气滞证。根据临床分型,对正常高值血压的形成、影响因素及脉象进行分析。脾虚湿盛证表现为滑脉和弦滑脉,多见于青壮年、体型肥胖者,以脾胃系统临床表现为著,血压易被忽视已在正常高值范围。肝肾阴亏证多见弦脉、弦数脉,绝经期女性多见,主要由于肝、肾及任脉、太冲脉阴阳失调所致。肾阴阳两虚证多见于先天不足、久病、年老体衰者,表现为弦紧脉,整体脉象沉而无力。肝郁气滞证的出现与性格、情志及脏腑病变等有关,以弦脉、数脉常见,体现在整体以左关脉为代表。正常高值血压对心血管造成不同程度损伤,并增加了心血管疾病的发生率,应发挥中医学未病先防、已病防变特色,积极防控正常高值血压。展开更多
Objective： To evaluate the efficacy and safety of ＂Three-Typed Syndrome Differentiation＂ （I-TSD） in treating type 2 diabetes mellitus patients. Methods： A systematic review and meta-analysis was done based on th...Objective： To evaluate the efficacy and safety of ＂Three-Typed Syndrome Differentiation＂ （I-TSD） in treating type 2 diabetes mellitus patients. Methods： A systematic review and meta-analysis was done based on the clinical diabetes treatment literature of the ＂I-I＇SD＂. Overseas databases like the PubMed/MEDLINE, EMBASE, Cochrane Library and Cochrane Central Register of Controlled Clinical Trials, and China databases like China Biology Medicine Disc （CBM）, Chinese national Knowledge Infrastructure （CNKI）, Wanfang database, and VIP database, without limitation on language, were included with the time limitation from Jan 1982 to Dec 2012 by retrieval of relative original clinical research articles. Results： Nineteen articles where contains 1,840 diabetes patients were obtained, in which no adverse reactions were reported. Of these, 14 literatures involved the effect of fasting blood glucose （FBG）, 10 involved that of postprandial 2-h blood glucose （P2hBG）, and 19 involved the overall efficacy based on the national Chinese medicine （CM） diagnosis and treatment standard of diabetes. All the meta-analysis results prefer to the ＂TTSD＂ groups （CM＋Westem medicine Based on I-I＇SD）. The results show that, beside the efficacy of Westem medicine, the concentrations of FBG and P2hBG in ＂TTSD＂ groups continue to drop with statistical significance. For ＂TTSD＂ groups, the FBG subsequently dropped 1.03 mmol/L, 95%CI [1.24,0.82] （P〈0.00001）, the P2hBG subsequently dropped 1.09 mmol/L, 95% CI [1.61, 0.57] （P〈0.0001）, and the overall efficacies benefit 3.46 times those of Western medicine alone, 95% CI [2.67,4.48] （P〈0.00001）. Conclusions： The CM by the diagnosis and treatment of type 2 diabetes based on ＂TTSD might be safe and effective, and could better improve both blood glucose and the overall status of patients, including symptoms.展开更多
文摘血压水平120~139/80~89 mm Hg(1 mm Hg≈0.133 kPa)定为正常高值血压。通过患者脉象特点和临床表现,将正常高值血压分为脾虚湿盛证、肝肾阴亏证、肾阴阳两虚证、肝郁气滞证。根据临床分型,对正常高值血压的形成、影响因素及脉象进行分析。脾虚湿盛证表现为滑脉和弦滑脉,多见于青壮年、体型肥胖者,以脾胃系统临床表现为著,血压易被忽视已在正常高值范围。肝肾阴亏证多见弦脉、弦数脉,绝经期女性多见,主要由于肝、肾及任脉、太冲脉阴阳失调所致。肾阴阳两虚证多见于先天不足、久病、年老体衰者,表现为弦紧脉,整体脉象沉而无力。肝郁气滞证的出现与性格、情志及脏腑病变等有关,以弦脉、数脉常见,体现在整体以左关脉为代表。正常高值血压对心血管造成不同程度损伤,并增加了心血管疾病的发生率,应发挥中医学未病先防、已病防变特色,积极防控正常高值血压。
文摘Objective： To evaluate the efficacy and safety of ＂Three-Typed Syndrome Differentiation＂ （I-TSD） in treating type 2 diabetes mellitus patients. Methods： A systematic review and meta-analysis was done based on the clinical diabetes treatment literature of the ＂I-I＇SD＂. Overseas databases like the PubMed/MEDLINE, EMBASE, Cochrane Library and Cochrane Central Register of Controlled Clinical Trials, and China databases like China Biology Medicine Disc （CBM）, Chinese national Knowledge Infrastructure （CNKI）, Wanfang database, and VIP database, without limitation on language, were included with the time limitation from Jan 1982 to Dec 2012 by retrieval of relative original clinical research articles. Results： Nineteen articles where contains 1,840 diabetes patients were obtained, in which no adverse reactions were reported. Of these, 14 literatures involved the effect of fasting blood glucose （FBG）, 10 involved that of postprandial 2-h blood glucose （P2hBG）, and 19 involved the overall efficacy based on the national Chinese medicine （CM） diagnosis and treatment standard of diabetes. All the meta-analysis results prefer to the ＂TTSD＂ groups （CM＋Westem medicine Based on I-I＇SD）. The results show that, beside the efficacy of Westem medicine, the concentrations of FBG and P2hBG in ＂TTSD＂ groups continue to drop with statistical significance. For ＂TTSD＂ groups, the FBG subsequently dropped 1.03 mmol/L, 95%CI [1.24,0.82] （P〈0.00001）, the P2hBG subsequently dropped 1.09 mmol/L, 95% CI [1.61, 0.57] （P〈0.0001）, and the overall efficacies benefit 3.46 times those of Western medicine alone, 95% CI [2.67,4.48] （P〈0.00001）. Conclusions： The CM by the diagnosis and treatment of type 2 diabetes based on ＂TTSD might be safe and effective, and could better improve both blood glucose and the overall status of patients, including symptoms.
