从痰瘀互结论治肥胖型2型糖尿病

Treatment of Obese Type 2 Diabetes from Phlegm and Blood Stasis

2型糖尿病是严重威胁人类健康的一种慢性疾病,而肥胖型2型糖尿病是其中最常见的类型。肥胖型2型糖尿病病机复杂,大致可分为脾气亏虚、肝气郁结、痰湿、内热及痰瘀等,这些病机可互为因果,均可导致痰瘀互结。因此在治疗痰瘀互结型肥胖型2型糖尿病时,也应辨证分析导致痰瘀互结的根本原因,以便更加精准地应用中药,快速缓解患者的临床症状,从而更好地降糖减重。王晓蕴教授临床治疗痰瘀互结型肥胖型2型糖尿病经验丰富,运用化痰活血方加减治疗痰瘀互结型肥胖型2型糖尿病的效果显著,安全性良好,现总结其医案两则,希望可以为临床上治疗此类患者提供些许思路。

Type 2 diabetes is a chronic disease that seriously threatens human health,and obese type 2 diabetes is the most common type.The pathogenesis of obese type 2 diabetes mellitus is complex,which can be roughly divided into spleen deficiency,liver qi stagnation,phlegm dampness,internal heat and phlegm and blood stasis.These pathogenesis can be reciprocal causation,which can lead to phlegm and blood stasis.Therefore,in the treatment of phlegm and blood stasis type obese type 2 diabetes,we should also analyze the root causes of phlegm and blood stasis,so as to more accurately apply traditional Chinese medicine,quickly relieve the clinical symptoms of patients,so as to better reduce blood sugar and weight loss.Professor Wang Xiaoyun has rich experience in the clinical treatment of obese type 2 diabetes mellitus with phlegm and blood stasis.The effect of modified Huatan Huoxue Decoction in the treatment of obese type 2 diabetes mellitus with phlegm and blood stasis is significant and safe.This paper summarizes two medical cases,hoping to provide some ideas for the clinical treatment of such patients.