从“肝脾相关”立论治疗肝源性糖尿病.pdfVIP

2014 年第 27 卷第 11 期 ·理 论 论 著 从“肝脾相关”立论治疗肝源性糖尿病 景 婧，宫 嫚，杜 宁，孙永强，张 宁，张 帆，吴 欣，刘红虹，周 超，罗生强△ 解放军三〇二医院中西医结合肝病诊疗与研究中心二科，北京 100039 摘 要］ 以“肝脾相关”理论为出发点，从肝脾与肝源性糖尿病的关系及从“肝脾”论治肝源性糖尿病 2 ［ 方面入手探讨肝源性糖尿病的中医药治疗，指出肝源性糖尿病属中 医“消渴病”范畴，但其治则不能完全等同 于“消渴病”的治则。 ［关键词］糖尿病，肝源性；肝脾相关；中医药 ［中图分类号］R587.11 ［文献标识码］A ［文章编号］1004-6852(2014)11-0001-03 Therapy for Hepatogenous Diabetes Based on ″the Relation between Liver and Spleen″ JING Jing, GONG Man, DU Ning, SUN Yongqiang, ZHANG Ning, ZHANG Fan, WU Xin, LIU Honghong, ZHOU Chao, LUO Shengqiang △ The Second Branch of Liver Disease Therapy and Research Center for Integrative Medicine of 302 Military Hospital of China, Beijing 100039, China Based on the theory of the relation between spleen and liver, TCM therapy for hepatogenous dia- betes is explored from the relationship between liver-spleen and hepatogenous diabetes, treatment for hepatogenous diabetes on the foundation of the relation between spleen and liver, it is pointed out that hepatogenous diabetes is one kind of diabetes mellitus, but its therapeutic principles are not suitable for all of the patients with diabetes melli- tus. diabetes mellitus; hepatogenous; the relation between liver and spleen; TCM 肝源性糖尿病 (hepatogenous diabetes，HD) 健运，水谷精微充足，不断上滋于肝，肝才能得以 是指继发于肝实质损害的糖尿病，临床表现以高 发挥正常功能。 ［1 ］ 血糖、葡萄糖耐量减低为特征 。 肝源性糖尿病 中医关于“肝脾相关”理论的论述较多，不仅 多以慢性肝病症状为主要临床表现，缺乏糖尿病 详细论述了两者的生理相互关系，而且深入阐明 “三多一少”典型症状及其并发症，容易发生低血 了两者的病理传变方式，包括肝病传脾和脾病传 糖，且餐后血糖升高显著。 目前，西药治疗存在难 肝，其中肝病传脾分为肝盛乘脾和肝虚传脾，