辨证分型治疗消渴140例临床观察

目的]观察辨证分型治疗消渴疗效。方法]采用前瞻性设计方法,对140例门诊患者辨证分型。气阴两虚-调气补阴汤(山药15g,玄参14g,熟地15g,白术12g,山茱萸15g,黄芪14g,乌梅8g,沙苑子11g,葛根12g,麦冬15g,五味子、陈皮各9g,人参7g,甘草6g)。热盛化燥-承气增液方(大黄10g,枳实11g,玄参14g,生地12g,麦冬15g,厚朴12g,茵陈、栀子10g,土茯苓9g,厚朴13g,苍术8g,甘草6g)。血癖气滞-通络活血汤(黄芪24g,地龙12g,麦冬15g,生地12g,全蝎9g,桃仁、红花各8g,川芍12g,丹参8g,鸡血藤18g,络石藤15g,桑枝12g,甘草6g)。气虚血癖-益气通络汤(白术、葛根各12g,茯苓9g,人参7g,黄芪14g,山药8g,天花粉9g,鸡血藤18g,丹参10g,甘草6g)。3剂/d,水煎200mL,早晚口服。连续治疗10d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。结果]临床控制59例,显效61例,有效20例,无效0例,总有效率100%。结论]辨证分型治疗消渴效果满意,值得推广。

Differential Treatment of Diabetes Clinical Observation 140 Cases

Objective ] To observe the effect of differential treatment of Diabetes . Methods ] Random parallel control method, 140 cases of outpatients using Differential Treatment . The following herbs are 3 / d, decoction 200mL, sooner or later orally.（~ Qiyinliangxu, regulating qi Yin Tang （ Shanyao 15g, Xuanshen 14g, Shudi 15g, Baizhu 12g, Shanzhnyu 15g, Huangqi 14g, Wumei 8g, Shayuanzi 11g, Gegen 12g, Maidong 15g, Wuweizi, Chenpi each 9g ginseng 7g, Renshen 6g） ; （2） excessive heat of the dry, Chengqi by liquid side （Dahuang 10g, Jishi 11g, Xuanshen 14g, Shengdi 12g, Maidong 15g, Houbu 12g, Yinchen, Zhizi 10g, Tufuling 9g, Houbu 13g, Cangshu 8g, Gancao 6g ） ; （3） addiction blood and qi stagnation, meridians soup （Huangqi 24g, Dilong 12g, Maidong 15g, Shengdi 12g, Quanxie 9g, Taoren,Honghua 8g, Chuanshao 12g, Danshen 8g, Jixueteng 18g, Luoshiteng 15g, Sangzhi 12g, Gancao 6g）; （4） deficiency of blood addiction, Yiqitongluo soup （ Baizhu, Gegen each 12g, Fuling 9g, Renshen 7g, Huangqi 14g, Shanyao 8g, Tianhuafen 9g, Jixueteng 18g, Danshen 10g, Gancao 6g ） . lOd is a continuous course of treatment . Observing clinical symptoms of adverse reactions. A course of treatment to determine efficacy. Results ] cured 59 cases, effective in 61 cases, effective in 20 cases, 0 cases, the total efficiency of 100%. Conclusion ] Differential Treatment of Diabetes effect is significant, it is worth promoting.