消渴方与穴位贴敷＋艾灸联合西药治疗糖尿病治后不良反应60例临床观察

目的]观察消渴方与穴位贴敷＋艾灸联合西药治疗糖尿病治后不良反应疗效。方法]将60例住院患者清热生津止渴，消渴方（天花粉、生地、生山药各15g，党参、麦冬、知母、丹皮各10g，茯苓6g，泽泻10g，丹参15g），l剂／d，水煎至150ml，早晚口服。大便秘结予生大黄、芒硝等中药穴位贴敷神阙、涌泉、足三里；肾阴亏虚证可艾灸足三里、三阴交予温通经络、调和气血。或予中药汤剂滋阴固肾，六味地黄汤（熟地15g，山茱萸肉、山药各12g，丹皮、泽泻、茯苓各10g），1剂／d，水煎150mL，早晚口服。二甲双胍，0．25～0．5g/次，3次／d。胰岛素30R餐前30min，20U～30U／日，早晚皮下注射。连续治疗10d为1疗程。观测临床症状、危险因素、不良反应。治疗1疗程，判定疗效。结果]显效45例，有效15例，无效0例，总有效率100．00％。结论]辨证施治联合西药治疗糖尿病治后不良反应效果显著，值得推广。

Evidence-based Medicine with Western Medicine Therapy of Diabetes for Adverse Reactions After Clinical observation of 60 cases

Objective ] To observe the evidence-based medicine with western medicine therapy diabetes adverse reactions after curative effect.Aiethods] The 60 cases of hospitalized patients with evidence- based medicine： lung and stomach heat to heat thirst quenching, excessive party （ Tianhuafen, Shengdi, Shengshanyao each 15g, Dangshen, Maidong, Zhimu, Danpi each lOg, Fuling 6g, Zexie log, DanshenlSg ）, 1/d, till 150 ml water, oral sooner or later. Constipation in rhubarb and mirabilite meridians of Chinese medicine attach CV 8, yongquan, foot three mile; Kidney Yin deficiency syndrome can be moxibustion cup three mile, three Yin to WenTong meridians, to reconcile blood. Or solid renal to traditional Chinese medicine medicinal broth ziyin, liuwei dihuang bind （ Shudi 15g, Shanzhuyurou, Shanyao each 12g, Danpi, Zexie, Fuling 10g ） l/d, till 150 ml water, oral sooner or later. Metformin, 0.25 -0.5g/time, 3 times/d. Premixed insulin 30 r pre-dinner 30 min, u 20 - 30 u/day, morning and evening subcutaneous injection. Continuous treatment of 10d to 1 course of treatment. Observation of clinical symptoms, risk factors, and adverse reactions. As a course treatment, judge curative effect. Results ] 45 cases were markedly effective, 15 cases were effective, 0 no effect, the total effective rate was 100.00%. Evidence-based medicine with western medicine therapy. Conclusion ] After cure diabetes significantly adverse effect, is worth promoting.