单纯性肥胖的中医虚实分型的研究.pdfVIP

山栀、茵陈、花粉、玄参治疗。②脾虚痰瘀互结型：多见于病变中期，临床可见形体肥胖、肢沉懒动、 动则喘息、不耐劳作、头昏头胀、胸闷气短、恶心纳呆，舌质淡胖或舌暗苔腻、脉虚弦或濡缓。多伴有 高血压，血脂、血粘度明显升高，有的伴有脂肪肝或胆石症。治则健脾化痰、活血祛瘀。可用温胆汤酌 加丹参、赤芍、桃仁、红花、茵陈、泽泻、黄连、熟军治疗。⑧脾虚痰瘀阻络型：多见于病变晚期。临 床可见形体肥胖、嗜卧懒动、肢麻疼痛、胸闷刺痛、眩晕头痛、夜尿增多、视物模糊、腹胀纳呆，舌质 暗或有瘀斑，苔厚腻、脉沉涩。多伴有持续高血压、高脂高粘血症、冠心病等多种慢性并发症。治则健 脾补肾．化痰逐瘀通络。方用自拟健脾化瘀汤治疗。药如；人参、黄芪、茯苓、苍术、制首乌、丹参、 赤芍、全蝎、地龙、白芥子等治疗。 2型糖尿病胰岛素抵抗为一综合征，病机复杂、病变多样。重视从脾论治仅为基本思路之一，不可能 以点概全，有待于不断深入研究探讨．力求其治疗方法更加完善。 TheTreatmentofInsulinResistance2DiabetesShould ofType be of ThoughtHighly Spleen Liu Qi ChenqinHangWangRong)【in ofTCMJinan (JinanHospital 250012) Shandong Insulinresistanceandsecretedefectofinsulinisthefoundation of insulin diabetes’comingon．Improving to resistanceisan solution andcure 2diabetes．Authorthat important prevent type considers deficiencyofspleen and of the excess are basisofinsulin and bloodstasistheoutcome damp pathologicol resistance．Phlegm is of insulin attentionshouldbe for in insulinresistance．Doctorshould resistance．Theforc，more paidspleen curing lookbothits courseand as as root well with disease symptoms combining Zheng