张明雪教授从“肝肾阴虚”论治冠心病合并糖尿病的经验总结

发布时间：2018-04-26 01:13

本文选题：冠心病 + 糖尿病　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：冠心病和糖尿病均为临床常见病、多发病,近年来二者合病的发病率呈明显上升趋势。西医对于冠心病合并糖尿病的治疗以改善心肌血供和控制血糖为主。导师张明雪教授临证之时从“胸闷、心悸、气短”等主要临床表现出发,紧扣“口渴多饮、多食易饥、小便频多、消瘦、心烦少寐、两胁隐痛、腰膝酸软、手足心热”等特征性的临床表现,认为冠心病合并糖尿病的发生与肝肾阴虚密切相关,治以滋养肝肾,益气养心,宣痹通脉之法,将参芪瓜蒌薤白半夏汤合一贯煎进行组合化裁,组成了以西洋参、黄芪、半夏、瓜蒌、薤白、生地、麦冬、当归、枸杞子、川楝子为主的基础方,临证之时随证加减,疗效显著。本文通过总结导师从肝肾阴虚论治冠心病合并糖尿病的临证经验,以期为临床治疗冠心病合并糖尿病提供新的思路和方法。
[Abstract]:Coronary heart disease (CHD) and diabetes mellitus (DM) are common clinical diseases. Western medicine for coronary heart disease combined with diabetes treatment to improve myocardial blood supply and control of blood sugar. Professor Zhang Mingxue, a tutor, set out from the main clinical manifestations of "chest tightness, palpitations, shortness of breath" and so on, clinging to "thirst and drink, more food, more hunger, more frequent urination, wasting, restless sleep, dull pain in both sides, sore waist and knee." The characteristic clinical manifestation of "heat in the heart of hand and foot" is that the occurrence of coronary heart disease combined with diabetes mellitus is closely related to yin deficiency of liver and kidney. Shenqi Gualou Xiebai Banxia decoction was made up of American ginseng, Astragalus membranaceus, Pinellia ternata, Trichosanthes macrostemon, raw land, Ophiopogon japonicus, Angelica sinensis, Fructus Lycii and Melia toosendan. The curative effect is remarkable. This article summarizes the clinical experience of treating coronary heart disease with diabetes mellitus from the view of liver and kidney yin deficiency, in order to provide new ideas and methods for clinical treatment of coronary heart disease with diabetes mellitus.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R259

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