南征教授中药干预糖尿病停用胰岛素典型病例分析

Treating diabetes withdrawal of insulin with TCM by Professor NAN Zheng

糖尿病是一组以慢性血葡萄糖水平增高为特征的代谢性疾病群,西医治疗多采用口服降糖药及胰岛素。该病中医学称为消渴,是中医药治疗的特色疾病之一。南征教授临床40余年,对消渴病的认识独有见地,病机上认为初起常以阴虚燥热为主,日久则重视气虚、血瘀的存在,且久病入络,毒损脏腑贯穿始终。治疗上创立包括饮食、运动、中药在内的一系列方案,用药上反对滥用胰岛素及胰岛素万能论。提出得病后应从改变不良生活方式开始,同时应用中药,调节五脏阴阳气血,三消同治,从毒论治,只要辨证准确,中药完全可以代替胰岛素,甚至可不用一针一药而健康延年。文章举3个典型病例以说明南征教授运用中医辨证治疗糖尿病,停用胰岛素的中药干预疗法。

Diabetes, characterized by chronic increase of blood glucose, is a group of metabolic diseases. It is usually treated by oral administration with antidiabetic drug and insulin with western medicine. Diabetes is called consumptive thirst in TCM. Professor NAN Zheng thought the pathogenesis of consumptive was yin deficiency and dryness-heat at the early stage, and at the protracted stage it was usually characterized by qi deficiency, blood stasis, pathogen intruding into collateral and poison damaging zang and fu. He established a series of treatment plan, involving diet, movement, and the Chinese materia medica. Professor NAN opposed to abusing insulin and the insulin multi-purpose theory, and proposed the treatment should start from change of bad life style and combine with application of Chinese medicine to regulate yin-yang and qi-blood of five viscera, treat triple diabetes at the same time. So long as syndrome differentiation was accurate, the Chinese materia medica may replace the insulin and prolong the life. In conclusion, this article enumerates 3 typical cases diabetes withdrawal of insulin with TCM by Professor NAN Zheng.