肥胖2型糖尿病中医治疗中的误区

目前中医治疗肥胖2型糖尿病仍然受传统中医消渴的辨证论治模式的影响,主要采用清热养阴的方法,大剂量使用清热泻火药,治疗上存在误区,严重影响了中医治疗该病的疗效。肥胖2型糖尿病现代辨证论治与传统消渴迥异,其核心病机是脾胃亏虚、本虚标实,治疗时以健脾益气药为主,灵活加减才能收到好的疗效。

Misunderstandings of TCM treatment to type two diabetes mellitus accom-panied with obesity

Effect of the Chinese medicine treatment of type two diabetes mellitus accompanied with obesity is still affected by xiāo kě(wasting-thirst)of traditional Chinese medicine.In most cases,clearing heat and nourishing yin method was adopted and herbs with clearing heat and purging fire properties were given to those patients,treatment exist misunderstandings,serious impact on the effect of treating the disease in TCM.This disease increased rapidly in recent times,was totally different from wasting-thirst recorded in ancient times.Its core mechanism was spleen-stomach deficiency (root deficiency)with external excess,and the treatment should be based on reinforcing spleen and nourishing qi,flexible addition and subtraction can receive good effect.