1490例2型糖尿病临床辨证分型调查分析

目的 了解2型糖尿病及其并发症中医临床辩证分型的现状，为制定2型糖尿病及其并发症的中医诊疗方案提供依据。方法 采用临床流行病学调查方法，对2型糖尿病及其并发症1490例、64项证候指标进行频数分析，归纳得出2型糖尿病及其并发症的基本证侯，按证候出现率归纳各证的主要证候。结果 2型糖尿病及并发症临床上主要分为热盛伤津、肝肾阴虚、气阴两虚、阴阳两虚、湿热内蕴5类证型，体现了中医“久病多虚，久病多瘀”的观点。结论 2型糖尿病及并发症临床上可按脏腑气血阴阳盛衰分型论治。

A survey on the pattern differentiation of type 2 diabetic mellitus and its complications

Objective To analyze the current tendency to the studies on pattern differentiation of type 2 diabetic mellitus and its complications based on a survey on the literatures associated with this subject.Methods The methods of clinical epidemiology were taken to survey the frequent distribution of various symptoms of type 2 diabetic miellitus and its complications.Then,the basic symptoms of the lesions were summarized and the main patterns of the diseases were set up according to the occurring frequency.Results 1490 cases with these lesions were collected and 64 kinds of symptom from them were studied based on these data.From this survey, 5 kinds of pattern were set up,including excessive heat injuring liquid,Liver and Kidney Yin deficiency, dual deficiency of Qi and Yin, dual deficiency of Yin and Yang, and internal accumulation of dampness and heat.These patterns suggested a tendency of stasis resulted from long persisted lesions to the diseases studied here.Conclutions Type 2 diabetic mellitus and its complications can be treated based on the pattern differentiation via the analysis on the fullness or deficiecy of Zang and Fu,Qi and blood, Yin and Yang.