从“气阴两虚”论探讨玉液汤治疗2型糖尿病研究进展

Research Progress on Yuye Decoction(玉液汤)Treating Type 2 Diabetes from Both Deficiency of Qi and Yin

玉液汤由清代名医张锡纯所创,记载于《医学衷中参西录》,是以益气养阴法治疗消渴病的经典名方,而气阴两虚作为糖尿病的主要病因病机之一,临床根据此病机运用玉液汤治疗糖尿病及合并症有独特优势,临床疗效显著且安全性较高。系统检索中国知网,万方数据知识服务平台等数据库近年来公开发表的关于玉液汤治疗2型糖尿病的临床应用及相关的药效机制研究文献,总结发现玉液汤无论是单独运用还是与西药联用治疗2型糖尿病以及糖尿病肾病、视网膜病变、周围神经病变等并发症,均获得较好的疗效。基于此从气阴两虚的角度对玉液汤治疗2型糖尿病的一系列研究及临床运用进行整理和分析总结,以期为今后开展玉液汤在临床得到更加深入与广泛的运用。

Yuye Decoction(玉液汤)was created by ZHANG Xichun,a famous doctor in the Qing Dynasty and recorded in Medicine Zhongzhong Shenxilu.According to this pathogenesis,the use of Yuye Decoction in the treatment of diabetes and comorbidities has unique advantages,with significant clinical efficacy and high safety.The author systematically searched databases such as CNKI,Wanfang Data Knowledge Service Platform and other databases published in recent years on the clinical application of Yuye Decoction in the treatment of type 2 diabetes and related pharmacodynamic mechanisms.Combination with western medicine in the treatment of type 2 diabetes and diabetic nephropathy,retinopathy,peripheral neuropathy and other complications have achieved good curative effect.Based on this,this article organizes and analyzes a series of studies and clinical applications of Yuye Decoction in the treatment of type 2 diabetes from the perspective of both deficiency of Qi and Yin,with a view to further in-depth and extensive clinical application of Yuye Decoction in the future.