仝小林辨治肥胖型2型糖尿病脂代谢紊乱临证思路

Research on experience of TONG Xiao-lin in the treatment of lipid metabolism disorder in obesity induced type 2 diabetes melitus

肥胖和糖尿病的发生紧密相关,2型糖尿病中约有40%-50%合并脂代谢异常,是导致心脑血管疾病的重要危险因素。仝小林教授总结多年的临床经验,认为肥胖型2型糖尿病脂代谢紊乱的基本病机为"中满内热、膏浊为患",临床以胃肠实热证、肝胃郁热证多见,提出"糖、脂、肥"同调理论,采用清热降浊法指导下组成的清热降浊方、降糖调脂方加减治疗,并经过临床研究证实,取得明确疗效,为治疗该病提供了新的辨治方法与思路。

Obesity is closely related to diabetes, considering as the most risky factor leading to cardio-cerebrovascular disease with 40%-50% type 2 diabetes melitus patients combined with abnormal lipids metabolism. Professor TONG Xiao-lin pointed out that the pathogenesis of disorder of lipid metabolism in obesity induced type 2 diabetes melitus was flatulence and endogenous heat along with fat and turbidity storage, syndrome of excessive heat of stomach and syndrome of heat stagnation in liver and stomach. Treatment of this disease should use modified Qingre Jiangzhuo Decoction and Jiangtang Tiaozhi Decoction using clearing heat, removing fat and turbidity method on the guidance of recuperating sugar, lipid and fat at the same time, which were confirmed by clinical research with good effect, providing new ideas in the syndrome differentiation of obesity induced type 2 diabetes melitus.