中医药防治糖尿病及其并发症研究述评

Review of TCM Treatment for Diabetes and Its Complications

纵览中医药防治糖尿病及其并发症现状,展望中医药防治糖尿病及其并发症前景。综述古今文献,评述中医药防治糖尿病及其并发症研究现状,强调糖尿病病位在脾胃肝肾,基本病机为热伤气阴,应重视清热益气养阴治法。而糖尿病并发症则存在络脉瘀结,"微型癥瘕"形成病机,应重视散结消聚治法。中医药防治糖尿病及糖尿病肾脏病、视网膜病变、糖尿病足等,卓有成效,但仍存在诸多问题。应重视文献研究与名老中医经验传承,明确中医优势领域,科学评价中医综合治疗与个体化治疗优势,促进理论创新。

Objective：To generalize the current situation and perspective of TCM prevention and treatment for diabetes and its complications.Methods：We reviewed the current state of prevention and treatment for diabetes and its complications with TCM based on the summary of ancient and modern literatures.The disease location is in spleen,stomach,liver and kidney and the basic pathogenesis is that heat damages yin and qi.The clearing heat and tonifying qi and yin method should be valued.Diabetic complications always have the pathogenesis of the blood stasis obstructing collateral and the formation of ＂ micro-abdominal mass＂.The method of dispersing node and aggregation should be valued.Conclusion：TCM is an effective treatment for diabetes,diabetic kidney disease,diabetic retinopathy,diabetic foot and other diabetic complications.But the prevention and treatment of diabetes and its complications with TCM still meet many problems.More attention should be taken to the literature research,experience inheritance of famous veteran doctors of TCM,to make sure that the advantages of TCM and individualized treatment of TCM are scientifically evaluated,so that theoretical innovation of TCM can be promoted.