Zhu Z Z, Xiong M Q
First Affiliated Hospital, Guangzhou University of TCM.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995 May;15(5):266-8.
Fifty-seven patients of non-insulin dependent diabetes mellitus (NIDDM) were divided into various groups by Syndrome Differentiation in TCM and 18 cases of non-diabetes mellitus were taken as control. The relationship of Syndrome-types and defect of the erythrocyte insulin receptors were studied with the percentage of specific insulin binding to erythrocyte, number and average affinity of erythrocyte insulin receptors. The results showed: (1) The patients of NIDDM had defect of erythrocyte insulin receptors specified with decreased number of insulin receptors; (2)Mild defect of erythrocyte insulin receptors was found in Syndrome of Yin Deficiency and hyperactivity of Heat, but serious defect in the Syndrome of both Qi and Yin Deficiency, in the Syndrome of both Yin and Yang Deficiency. Above data suggested that the defect of erythrocyte insulin receptors was correlated with Syndrome-types of patients with NIDDM, the more serious Deficiency Syndrome, the more serious defect of erythrocyte insulin receptors.
将57例非胰岛素依赖型糖尿病(NIDDM)患者按中医辨证分为不同组,并选取18例非糖尿病患者作为对照。采用红细胞胰岛素特异性结合率、红细胞胰岛素受体数量及平均亲和力,研究证型与红细胞胰岛素受体缺陷的关系。结果显示:(1)NIDDM患者存在红细胞胰岛素受体缺陷,表现为胰岛素受体数量减少;(2)阴虚热盛证患者红细胞胰岛素受体存在轻度缺陷,而气阴两虚证、阴阳两虚证患者存在严重缺陷。以上数据提示,红细胞胰岛素受体缺陷与NIDDM患者的证型相关,虚证越严重,红细胞胰岛素受体缺陷越严重。