中医药研究论丛

221.5 台湾临床常用青草药治疗糖尿病之文献回顾
TJ TCM.22(1) : 45-62, 2019
台湾临床常用青草药治疗糖尿病之文献回顾
Literature Review on Taiwanese Herbs Clinically Used in Diabetes Treatment
黄琮融1 王裕方1 黄蕙棻1,2 柯建新1,3 赖尚志1,4*
1 慈济大学学士後中医系,花莲,台湾
2 佛教慈济医疗财团法人台北慈济医院中医部,台北,台湾
3 佛教慈济医疗财团法人花莲慈济医院中医部,花莲,台湾
4 佛教慈济医疗财团法人花莲慈济医院药剂部,花莲,台湾
【摘要】
糖尿病是一古老的代谢疾病,中国古代文献记载的「消渴」症状─消榖善饥,口渴多饮;又因为多饮而多尿,由消耗而致消瘦之证,便归属於现代糖尿病的范畴。糖尿病的严重性在於全身微循环不良和神经病变,可对重要维生器官产生并发症,导致心血管疾病、肾衰竭、糖尿足截肢、失明等并发症。
本文藉由文献回顾之方式,首先整理出糖尿病在中医辨证论治基础的各种证型分类,成为方证相对的治疗叁考依据。透过整理市售青草药单方浓缩制剂,从中选出七种临床用来辅助治疗糖尿病的民间青草药─包含武靴藤、咸丰草、绞股蓝、山苦瓜、番麦须、红骨蛇及龙眼花;这些青草药累积前人丰富的临床使用经验,在现代药理研究方面,如:细胞试验、动物实验及活性化学成分的研究,亦可作为中医师斟酌症情变化之单味药加减的另一项选择考量。最後,现代医学对糖尿病及相关并发症提供不少临床诊断的线索,若辨证审因,加减化裁常用证型处方之外,搭配青草药做为辅助治疗,发挥方药协同的综合效应,成为现代糖尿病治疗的叁考指南,使治疗糖尿病达到更理想的境界。
【关键词】糖尿病、消渴、青草
Tsung-Rung Huang1 Yu-Fang Wang1 Hui-Fen Huang1,2 Chien-Hsin Ko1,3
Shang-Chih Lai1,4*
1School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
3Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
4Department of Pharmacy, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,
Hualien, Taiwan
【Summary】
Diabetes is an ancient metabolic disease. The medical term of "dispersionthirst (xiao ke)" recorded in ancient Chinese literature are symptoms of excessive hunger and thirst, causing people emaciatd eventually with both drinking and urinating much. It belongs to the category of modern diabetes. The seriousness of diabetes lies in poor systemic microcirculation and neuropathy which can cause complications in vital organs; for instance, cardiovascular diseases, renal failure, diabetic foot, and blindness. In this paper, by reviewing the literature, the classification of various syndromes of diabetes on the basis of traditional Chinese medicine is first sorted out, and it becomes the reference for the treatment of prescriptions. Through the arrangement of commercially herbal concentrates, seven kinds of folk herbal medicines used for the treatment of diabetes are choosed-Gymnema Sylvestre, Bidens pilosa, Gynostemma pentaphyllum, Momordica Charantia, Zea mays, Paederia scandens, and Dimocarpus longan.
These herbs have accumulated a wealth of clinical experience from previous generations and are used in modern pharmacological research such as cell tests, animal experiments, and active chemical composition studies. Therefore, they can be used as alternatives for achieving more flexible and effective treatment of Chinese medical practitioner. Finally, modern medicine provides many clinical clues for the diagnosis of diabetes and its related complications. With the use of herbal medicine as adjuvant therapy, the synergy effects of prescription and herbs can become a reference guide for the treatment of modern diabetes, which achieve an ideal and effective result.
KeywordsDiabetes, dispersion-thirst, herbs