从脾胃论治2型糖尿病合并冠心病

2型糖尿病合并大血管病属消渴变证,冠心病是主要并发症,由消渴日久而发。"消渴重,心中痛",为本虚标实之证,本为气阴两虚,标为痰浊内停、瘀血阻滞,虚在心脾肾,实在痰瘀阻络。气虚与阴虚互为因果,瘀血与痰浊既为气阴两虚病理产物,又是消渴导致胸痹主要机理。脾虚失运是发病关键,运脾是治疗根本。益气养阴,化痰祛瘀,都应在健脾基础上进行。中医药治疗擅用调理脾胃之方药。

Treatment from Spleen and Stomach in Type 2 Diabetic Patients with Coronary Heart Disease

Type 2 diabetic patients with macrovascular disease is variable to diabetes,coronary heart disease is a major complication of diabetes for a long time,by the hair."Diabetes,heart pain".This standard is false certificate for gas,the cloudy two empty,marked as phlegm in stops,blood stasis,deficiency in heart and kidney,reality of phlegm and blood stasis.Deficiency of Qi and yin deficiency blood stasis and phlegm reciprocal causation,both for the gas cloudy two empty pathologic product,and diabetes is a main mechanism lead to chest.Failure is the key pathogenesis of deficiency of spleen,the spleen is the treatment of root.Supplementing qi and nourishing Yin,dissipating phlegm and removing blood stasis,invigorating the spleen should be based on.Chinese medicine treatment of the spleen and stomach of physical medicine.