Pang Bing, Zhou Qiang, Zhao Tian-Yu, He Li-Sha, Guo Jing, Chen Hong-Dong, Zhao Lin-Hua, Tong Xiao-Lin
Department of Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing 100054, China.
Department of Digestion, Beijing Hospital of Traditional Chinese Medicine, Capital University of Medicine Sciences, Beijing 100010, China.
Evid Based Complement Alternat Med. 2015;2015:905432. doi: 10.1155/2015/905432. Epub 2015 Oct 4.
The rapidly increasing incidence of diabetes mellitus (DM) is becoming a major public health issue. As one of the important parts in complementary and alternative therapies, traditional Chinese medicine (TCM) is promising in treating DM. In this review, we summarize new thoughts on treating DM that aim to improve the clinical efficacy of TCM from the perspectives of principle, methods, formula, herbs, and doses. Our approach is as follows: principle: we use a combination of symptoms, syndromes, and diseases as a new mode for treating diabetes; methods: emphasizing heat-clearing in the early and middle stage of T2DM and invigorating blood circulation throughout the whole process of T2DM are two innovative methods to treat T2DM; formulas and herbs: choosing formulas and herbs based on the combination of TCM theory and current medicine. We will emphasize four strategies to help doctors choose formulas and herbs, including treatment based on syndrome differentiation, choosing herbs of bitter and sour flavors to counteract sweet flavor, choosing formulas and herbs aimed at main symptoms, and using modern pharmacological achievements in clinical practice; dose: reasonable drug dose plays an important role in the treatment of DM and a close relationship exists between dose and clinical efficacy.
糖尿病(DM)发病率的迅速上升正成为一个重大的公共卫生问题。作为补充和替代疗法的重要组成部分之一,中医(TCM)在治疗糖尿病方面具有广阔前景。在本综述中,我们从原则、方法、方剂、草药和剂量等方面总结了旨在提高中医治疗糖尿病临床疗效的新思路。我们的方法如下:原则:采用症状、证候和疾病相结合的新模式治疗糖尿病;方法:强调在2型糖尿病的早期和中期清热以及在2型糖尿病的全过程中活血化瘀是治疗2型糖尿病的两种创新方法;方剂和草药:基于中医理论与现代医学相结合来选择方剂和草药。我们将强调四种帮助医生选择方剂和草药的策略,包括辨证论治、选用苦酸味草药来制衡甜味、针对主要症状选择方剂和草药以及在临床实践中运用现代药理学成果;剂量:合理的药物剂量在糖尿病治疗中起着重要作用,且剂量与临床疗效之间存在密切关系。