仝小林治疗糖尿病合并呕吐经验总结

Experience of Professor TONG Xiaolin's Treatment on Diabetic Patients with Vomiting

糖尿病多种并发症均可导致呕吐,严重影响患者生活质量。仝小林认为中焦气机逆乱、升降失常是呕吐基本病机。在临症治疗中,以"症-证-病"结合为主要思路:急症期以止呕效方"急则治标";缓解期则以辛开苦降、通腑导滞、温中补虚等法辨证论治以"缓则治本",在整个治疗过程中同时兼顾糖尿病血糖指标。在具体治疗过程中强调煎服法正确使用的重要性,同时大剂量药物的合理使用亦是仝小林教授治疗糖尿病合并呕吐患者的重要特色。

Many diabetic complications can cause vomiting, which have bad impact on the quality of patients＇life. Professor TONG Xiaolin thinks that the disturbance of middle Jiao＇s qi movement is the basic pathogenesis of vomiting. In the clinical treatment, he often takes the combination of symptomsyndrome disease as the main idea. In the emergency period, the effective antiemetic prescription can be used to treat the acute symptoms. In remission stage, the methods of Xinkai Kujiang, Tongfu Daozhi and warming middle Jiao and tonifying deficiency are often used to treat the chronic case. During the whole course of treatment, the blood glucose level is also cared. At the same time, Professor TONG always emphasizes the importance of decoction method. The rational use of high doses of the drug is also an important characteristic of Professor TONG~ treatment.