徐吉祥教授治疗成人隐匿性自身免疫性糖尿病经验探讨

Discussion on Experience of Professor XU Ji-xiang Treating Latent Autoimmune Diabetes in Adults

针对成人隐匿性自身免疫性糖尿病(LADA),徐吉祥教授运用中医理论,并结合个人临床经验,认为LADA的病机关键为气阴两虚、肝郁血瘀,应以扶正祛邪、平调气血为治则,益气滋阴健脾、疏肝补血活血为具体治法。通过微观辨病与宏观辨证,自拟消抗丸方加减,并予小剂量胰岛素皮下注射。经个体化治疗后,在控制高血糖、改善临床症状和胰岛素抵抗、治疗糖耐量低减、恢复胰岛β细胞功能等方面,具有独特疗效,是目前治疗LADA的一种有效而理想的方法。

For latent autoimmune diabetes in adults （LADA）, professor Xu Jixiang using TCM theory, and combining with personal clinical experience, thinks that the key pathogenesis of LADA are qi - yin deficiency and stagnation of liver and blood, the rules of treatment should be strengthen the body resistance to eliminate pathogenic factors and regulate qi and blood. Therapeuticing the level of qi, tonifying yin and qi, invigorating the spleen, soothing the liver, enriching the blood and promoting blood circulation for specific therapy. Through dis- tinguishing the micro, disease and discriminating the macro syndrome, professor Xu uses self- formulated prescription named Xiaokangwan, modifying it in different sitiuation, and skin -poping small doses of insulin. Through the individual treatment, it has the unique curative effect in the control high blood glucose, improving the clinical symptoms and insulining resistance, treatmenting glucose tolerance low subtraction, restoringβ cell function, and etc. So the treatment above is a effective and ideal method of LADA.