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从“机-证-治”角度分析国医大师南征教授治疗糖尿病与脂肪肝的“共病”辨治思路
张雨欣1, 范雪纯1, 米佳2
1.长春中医药大学, 长春 130117;2.长春中医药大学附属医院内分泌代谢病科, 长春 130021
摘要:
糖尿病与非酒精性脂肪肝病是临床常见的代谢性疾病,两者发病机制密切相关,常相兼为病。从“机-证-治”理论框架认识代谢性疾病的发生发展及诊疗,具有重要的指导意义。文章从湿、热、瘀、毒、虚等不同证候要素对糖尿病与脂肪肝共病的“机-证-治”进行探讨,分析南征教授治疗糖尿病与脂肪肝的“共病”经验,为今后临床上治疗共病,提供一种新的思路与方法。
关键词:  糖尿病  非酒精性脂肪肝病  共病  “机-证-治”理论
DOI:10.11656/j.issn.1672-1519.2025.08.02
分类号:R587.1
基金项目:国家自然科学基金项目(82205039)。
Analysis of national master of traditional Chinese medicine NAN Zheng’s therapeutic approach to diabetes-fatty liver comorbidity from the “pathogenesis-syndrome-treatment”perspective
ZHANG Yuxin1, FAN Xuechun1, MI Jia2
1.Changchun University of Chinese Medicine, Changchun 130117, China;2.Department of Endocrinology and Metabolism, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130021, China
Abstract:
Diabetes mellitus and nonalcoholic fatty liver disease are clinically common metabolic disorders with closely interrelated pathogenesis,often occurring as comorbidity. The “pathogenesis-syndrome-treatment” theoretical framework provides significant guidance for understanding the development and clinical management of metabolic diseases. This article explores the application of this framework in diabetes-fatty liver comorbidity through syndrome elements including dampness,heat,stasis,toxin,and deficiency,analyzing Professor NAN Zheng’s clinical experience,thereby providing new insights and methods for future clinical management of comorbidity.
Key words:  diabetes  nonalcoholic fatty liver disease  comorbidity  “pathogenesis-syndrome-treatment” theory
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