仝小林使用天花粉、知母、葛根降糖经验

Tong Xiaolin’s experience in reducing blood glucose with snakegourd root,common anemarrhena rhizome and kudzuvine root

津伤可见于糖尿病病程的多个阶段,紧抓核心病机,有的放矢,才能达到较好的治疗效果。仝小林院士认为,因热伤阴,因热耗气,因此滋阴益气的同时更要警惕背后之"热",所谓"扬扬止沸,不若釜底抽薪",热为致病之源,清热为澄源之治,滋阴益气更应注重清热。知母、天花粉、葛根是仝小林院士临床常用的清热养阴生津小方,三味药合称"滋膵饮",见热盛阴伤均可配伍使用。方中知母常用剂量为9~30 g,天花粉常用剂量为15~30 g,葛根常用剂量为15~60 g。

Fluid injury can be seen in many stages of diabetes.Only by focusing on the core pathogenesis with a proper purpose can a better therapeutic effect be achieved in its treatment.Academician Tong Xiaolin maintains that doctors should be on guard against hidden heat while nourishing yin and benefiting qi,since heat pathogen may both hurt yin and consume qi,as the saying goes"It is better to pull the rug from under you than to stop the boil".Therefore,heat is the source of the disease,while only by clearing heat can fluid injury be treated and clearing heat can never be overestimated.Snakegourd root,common anemarrhena rhizome and kudzuvine root are the herbs commonly used in a minor prescription by Academician Tong Xiaolin to clear heat,nourish yin and build up fluid.The three medicines are collectively known as Zicuiyin,which can be used in combination for excessive heat and damaged yin.In the formula,the commonly used dosage of common anemarrhena rhizome,snakegourd root and kudzuvine root is 9-30 g,15-30 g and 15-60 g,respectively.