基于体质因素探讨2型糖尿病不同时期患者舌苔变化、病机演变及其防治OA
Analysis of tongue coating changes,pathogenesis evolution,and intervention strategies in type 2 diabetes across different disease stages based on constitutional factors
基于体质因素对2型糖尿病早期、糖调节受损期(阳虚质、阴虚质)、2型糖尿病期(痰湿质、肝郁质)不同时期、不同体质患者的舌苔变化、病机演变及其防治进行探讨分析.指出在2型糖尿病早期发现舌苔改变时及时进行干预,可以截断病情发展;在糖调节受损期通过舌苔变化预知病情发展方向,及时干预,可以诱导出蜜月期或延长糖尿病前期;在2型糖尿病期,针对最常见的痰湿、肝郁质患者分析其舌苔改变进行遣方用药,结合饮食、运动干预,可有效减少西药降糖药物的剂量,更平稳地控制血糖.
This study explores and analyzes the changes in tongue coating,disease mechanism evolution,and prevention and treatment of patients with different constitutions(yang deficiency constitution,yin deficiency consti-tution,phlegm-dampness constitution,and liver depression constitution)at different stages of type 2 diabetes,inclu-ding the early stage and impaired glucose regulation stage,as well as the type 2 diabetes stage.It is pointed out that timely intervention when tongue coating changes are detected in the early stage of type 2 diabetes can prevent the progression of the disease.In the impaired glucose regulation stage,the direction of disease development can be pre-dicted through changes in tongue coating,and timely intervention can induce a honeymoon period or prolong the pre-diabetic stage.In the type 2 diabetes stage,for the most common phlegm-dampness and liver depression constitution patients,the changes in tongue coating are analyzed for prescription and medication,combined with dietary and exercise intervention,which can effectively reduce the dosage of hypoglycemic drugs and more stably control blood glucose.
孙丹凤;宁雪峰;陈晴;李雯雯;赵婷
兰州市中医医院糖尿病科,甘肃 兰州 730050兰州市中医医院糖尿病科,甘肃 兰州 730050兰州市中医医院糖尿病科,甘肃 兰州 730050兰州市中医医院糖尿病科,甘肃 兰州 730050兰州市中医医院糖尿病科,甘肃 兰州 730050
医药卫生
2型糖尿病体质舌苔病机中医药防治
type 2 diabetesconstitutiontongue coatingdisease mechanismtraditional Chinese medicine pre-vention and treatment
《甘肃中医药大学学报》 2026 (2)
33-37,5
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