基于体质可调论治糖尿病大血管病变

Treatment of Diabetic Macroangiopathy Based on Adjustable Constitution

糖尿病大血管病变为糖尿病后期的严重并发症,具有较高的致残致死率,早期干预可达既病防变目的,对于改善患者生活质量、节约医疗资源意义深远。中医体质学说认为人的体质不仅禀赋于先天,亦可通过外在手段干预而改变。糖尿病大血管病变的好发体质类型主要集中在阴虚质、气虚质、痰湿质与血瘀质。以中医治未病思想为指导,从体质可调出发,列举验案2则,为糖尿病大血管病变的高危体质类型制定出中医药、饮食、运动等具体体质调节方案,及早纠正体质偏颇,以期为临床防治糖尿病大血管病变提供参考。

Diabetic macroangiopathy is a serious complication in the later stage of diabetes,with a high disability and mortality rate.Early intervention to prevent the progression of the disease is of great significance for improving the quality of life of patients and saving medical resources.The constitution theory of traditional Chinese medicine(TCM)believes that the constitution of human beings is not only endowed by innate basis,but also can be changed by external intervention.The constitution types of diabetic macroangiopathy are mainly concentrated in yin deficiency constitution,qi deficiency constitution,phlegm-dampness constitution and blood stasis constitution.Guided by the idea of preventing disease in TCM,from the perspective of adjustable constitution,two medical cases were listed to formulate specific adjustment schemes of TCM,diet and exercise for high-risk constitution types of diabetic macroangiopathy,so as to correct the constitution bias as early as possible,in order to provide reference for the clinical prevention and treatment of diabetic macroangiopathy.