中医药研究论丛

202.13 中医治疗糖尿病之显效病例报告及理论推导

 

中医治疗糖尿病之显效病例报告及理论推导
Remission of Type II Diabetes Mellitus by Traditional Chinese Medicine - Theoretical
Derivation and Case Report
王馥筑1 吴佩青2*
1,2 佛教慈济医疗财团法人台北慈济医院中医部,台北,台湾
【摘要】
糖尿病为一代谢异常疾病,多数患者需长期服用西药,如胰岛素及各类口服降血糖药,以达到控制血糖之目的,但因部分药物会造成腹泻等肠胃道副作用,甚至起红疹等过敏反应。因此中医门诊常有糖尿病病人求诊,期望藉由中西医合并治疗,降低副作用,并达到更持久的疗效。本篇病例报告一位三十七岁女性,於104 年10 月30 确诊为第二型糖尿病,因服西药易腹泻,且其口乾渴症状仍未改善,因此无规则服用西药,亦无饮食控制、生活习惯改变,并於104 年11 月20 日至中医科就诊,当时其饭前葡萄糖为146,糖化血色素为9.5,希望藉由服用中药控制其糖尿病。初起临床诊断为消渴,证属肺胃热盛,肾阴阳两虚,兼脾虚生湿,气阴虚损之证,治以清泻肺胃,补肾之阴阳,兼健脾袪湿,补气滋阴。经科学中药白虎加叁汤合八味地黄丸加味治之,其口乾渴、易饥、频尿、夜尿等症状均有缓解,且三个月後抽血数值亦有大幅改善,糖化血色素为5.5,亦透过中药改善其服西药後疲倦、腹泻等副作用。藉此个案说明中医药治疗糖尿病有确实之疗效。
【关键词】
消渴、白虎加人叁汤、八味地黄丸、中医药治疗
 
Wang, Fu-Chu1 Wu, Pei-Ching2*
1,2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, New Taipei City, Taiwan
【Summary】
The term "Diabetes mellitus" (DM) is a metabolic disorder disease and most patients diagnosed of Diabetes mellitus have to receive western medical intervention, such as oral medication and insulin injection for a long time. Given that western medical intervention is known to have side effects and could result in allergic reactions. it was hoped that chinese medical treatment could be adopted to lower side effects and achieve a longer lasting effect.
In the following we present the case of a 37-year-old female who had diarrhea after taking oral medication for type II Diabetes, diagnosed in October 2015. In November of 2015, due to the side effects of the western medicine and little improvement of the symptoms of dry mouth and thirst, she did not take western medicine regularly and come to TCM department for combined consultant. At that time, her GLU-AC was found to be 146 and HbA1C was 9.5. The Chinese medicine diagnosis for the patient was “wasting-thirst disease” with lung heat and stomach heat, kidney yin and yang vacuity, dampness due to spleen qi vacuity, yin vacuity.The treatment goals were clearing lung heat and stomach heat, supplementing kidney yin and yang, replenishing spleen qi, drainage dampness and nourishing yin. After treatment with a Bai Hu Jia Ren Shen Tang and Ba Wei Di Huang Wan variant in powder form, the symptoms including of dry mouth, thirst, frequent
urination and nocturia were all improved. In a subsequent check-up performed in February of 2016 HbA1C decreased to 5.4% and the symptoms such as tiredness and diarrhea resulted from western medicine were improved as well. From this case it is clear that TCM treatment is effective in the treatment of Diabetes.
Keywords: Wasting-thirst disease, Bai Hu Jia Ren Shen Tang, Ba Wei Di Huang Wan, Traditional chinese medicine