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| 消渴郁证的中医文献研究 |
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李娜1, 景玉霞1,2, 李晓娟1, 白晓晖1, 刘群1, 刘玥芸1, 金钟晔1, 刘燕1,3, 陈家旭1
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1.北京中医药大学基础医学院, 北京 100029;2.新疆医科大学中医学院, 乌鲁木齐 830054;3.湖北中医药大学基础医学院, 武汉 473001
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| 摘要: |
| 中国自古就有消渴郁证的文献记载,其发病机制可分为“因病而郁”和“因郁而病”两个方面。而临床上消渴郁证的症状体征具有多样性,临床漏诊率高达40%~50%。从辨证分型来说,消渴郁证一般分为4 种分型,即肝气郁滞、痰气交阻、肝肾阴虚、阴阳两虚,其中肝气郁滞所占比例最高。因情志不遂与消渴郁证密切相关,所以从肝论治,疏肝理气应是其主要治疗方法,并在论证、立法、处方、用药、开导5 个环节寻求最佳方案进行治疗。情绪的调节有益于消渴病的控制,而消渴的调控也有疏肝解郁之效,降低患者因负性情绪所致的胰岛素抵抗,及时有效地控制血糖,提高患者的生存质量。 |
| 关键词: 消渴 郁证 从肝论治 |
| DOI：10.11656/j.issn.1672-1519.2015.06.07 |
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| 基金项目:国家自然科学基金项目(81072756,81473597);北京中医药大学创新团队资助项目(2011CXTD-07)。 |
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| Literature research about diabetes and depression in traditional Chinese medicine |
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LI Na1, JING Yu-xia1,2, LI Xiao-juan1, BAI Xiao-hui1, LIU Qun1, LIU Yue-yun1, JIN Zhong-ye1, LIU Yan1,3, CHEN Jia-xu1
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1.School of Basic Medicine, Beijing University of Chinese Medicine, Beijing 100029, China;2.College of Chinese Medicine, Xinjiang Medical University, Urumchi 830054, China;3.School of Basic Medicine, Hubei University of Chinese Medicine, Wuhan 473001, China
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| Abstract: |
| Diabetes and depression are recorded in ancient literature, and its pathogenesis can be classified into “depression due to disease” and “disease due to depression”. Depression is closely related to diabetes, so the treatment should put the emphasis on relieving liver for smoothing Qi. To pursuit the optimal treatment, and the program can be conducted by five steps, including syndrome differentiation, method, formula, herbs and guiding. Regulation of mood is good for the control of diabetes, while a good control of diabetes is good for relieving liver Qi, which can reduce insulin resistance due to bad mood, control blood glucose effectively, as well as increase patients' life quality. |
| Key words: diabetes depression treatment from liver |
