张军教授治疗2型糖尿病合并慢性心衰(气虚血瘀型)的经验

Experience of Professor Zhang Jun in Treating Type 2 Diabetes Complicated with Chronic Heart Failure (Qi Deficiency and Blood Stasis Type)

2型糖尿病合并慢性心衰是一种复合型疾病,其发病机制复杂,病死率高。在中医学上,2型糖尿病合并慢性心衰与消渴病合并水肿、心悸、喘证及痰饮等有关。张军教授通过对中医相关文献的研读和多年的临床治疗经验,认为此病的中医证素分布规律为本虚标实,本虚以气虚和阴虚为主;标实常见瘀血和痰浊,病变的主要脏腑是心、脾、肾。并且根据其临床表现及特点提出其基本证型主要有气虚血瘀、阳虚水泛、痰瘀互结等,其中以气虚血瘀型最为常见。因此对于2型糖尿病合并慢性心衰(气虚血瘀型)的患者在临床治疗中应以益气、活血、化瘀为基本治疗方法。对于减轻患者症状,提高临床疗效,改善患者生活质量以及降低病死率等方面发挥了积极作用。

Type 2 diabetes mellitus combined with chronic heart failure is a complex disease with complex pathogenesis and high mortality.In traditional Chinese medicine,type 2 diabetes mellitus with chronic heart failure is related to diabetes mellitus with edema,palpitation,asthma syndrome and phlegm.Through the study of traditional Chinese medicine related literature and years of clinical treatment experience,Professor Zhang Jun believed that the distribution of traditional Chinese medicine syndrome elements in this disease was based on the deficiency of qi and yin.Blood stasis and phlegm are common,and the main organs are heart,spleen and kidney.According to its clinical manifestations and characteristics,the basic syndromes mainly include qi deficiency and blood stasis,yang deficiency and water flooding,phlegm and blood stasis,among which qi deficiency and blood stasis is the most common.Therefore,for patients with type 2 diabetes complicated with chronic heart failure(qi deficiency and blood stasis type),the basic treatment methods should be supplementing qi,promoting blood circulation and removing blood stasis.It plays a positive role in alleviating symptoms,improving clinical efficacy,improving patients' quality of life and reducing mortality.