芳香类中药在老年糖尿病肌少症中的应用

Application of Sarcopenia in Diabetes with AromaticTraditional Chinese Medicine

糖尿病肌少症病位虽在筋脉、肌肉,然其病本实则在脾。消渴日久致脾虚失运,中气逆乱,毒邪内生,气血乏源,故筋肉失养。脾虚失运、中气逆乱是糖尿病肌少症之始发环节,毒邪内生、气血乏源是老年糖尿病肌少症之关键所在。芳香类中药能对脾进行调节,使脾运化有常,升清有度,精微疏布得当,四肢肌肉得以濡养充盈。治疗老年糖尿病肌少症可从“香入脾”入手,燮理中气,助脾得运,祛除毒邪,使中气升降有序,脾之运化水谷精微得当,促进血糖的吸收和利用,则四肢筋肉得以濡养。临证时可根据病情具体变化,选用不同功效之芳香类中药进行加减化裁,以提高疗效,进一步深入挖掘芳香类中药的临床价值。

Although the location of diabetes sarcopenia is in the muscles and tendons,the disease is in the Spleen.Prolonged diabetes leads to Spleen deficiency and loss of vitality,with the disorder of middle Qi and the endogenous generation of toxins.As a result,there is a lack of energy and blood sources,resulting in a loss of nourishment for muscles and tendons.Spleen dysfunction and disorder of middle Qi are the initial symptoms of diabetes sarcopenia,and the key to the disease is endogenous Toxin and poor Qi and blood generation.Aromatic traditional Chinese medicine can regulate the Spleen,helping it to transform regularly,elevate its clarity to a certain degree,distribute the nutrition and sparse ingredients appropriately,and eventually to nourish and fill the muscles of the limbs.The treatment of sarcopenia in diabetes can start with"fragrance entering Spleen".It can help regulate the middle Qi,help the Spleen function,remove the Toxin,make the middle Qi rise and fall orderly,improve the Spleen′s function,promote the absorption and utilization of blood sugar,and nourish the muscles and tendons of the limbs.In clinical practice,different aromatic traditional Chinese medicines with different effects can be selected and modified prescriptions can be used according to the specific changes in the condition,to improve the therapeutic effect and further explore the clinical value of aromatic traditional Chinese medicines.