消渴方与穴位贴敷+艾灸联合西药治疗糖尿病治后不良反应60例临床观察

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[目的]观察消渴方与穴位贴敷+艾灸联合西药治疗糖尿病治后不良反应疗效。[方法]将60例住院患者清热生津止渴,消渴方(天花粉、生地、生山药各15g,党参、麦冬、知母、丹皮各10g,茯苓6g,泽泻10g,丹参15g),1剂/d,水煎至150ml,早晚口服。大便秘结予生大黄、芒硝等中药穴位贴敷神阙、涌泉、足三里;肾阴亏虚证可艾灸足三里、三阴交予温通经络、调和气血。或予中药汤剂滋阴固肾,六味地黄汤(熟地15g,山茱萸肉、山药各12g,丹皮、泽泻、茯苓各10g),1剂/d,水煎150mL,早晚口服。二甲双胍,0.25~0.5g/次,3次/d。胰岛素30R餐前30min,20U~30U/日,早晚皮下注射。连续治疗10d为1疗程。观测临床症状、危险因素、不良反应。治疗1疗程,判定疗效。[结果]显效45例,有效15例,无效0例,总有效率100.00%。[结论]辨证施治联合西药治疗糖尿病治后不良反应效果显著,值得推广。 [Objective] To observe the therapeutic effect of Diabetes Decoction and acupoint sticking + moxibustion combined with western medicine in the treatment of adverse effects after diabetes mellitus. [Method] Sixty cases of inpatients were treated with heat and thirst quenching, thirst quencher prescription (TCS, raw land, raw yam 15g each, 10g of Codonopsis, Ophiopogon japonicus, Anemarrhena ondii, 6g of Poria cocos, 10g of Alisma orientalis and 15g of Salvia miltiorrhiza) 1 / d, decoction to 150ml, sooner or later oral. Constipation to give birth to rhubarb, Glauber’s salt and other traditional Chinese medicine point application God Que, Yongquan, Zusanli; kidney yin deficiency can moxibustion Zusanli, Sanyinjiao to warm through the meridians, reconcile qi and blood. Or to Chinese medicine decoction Ziyin Gushen, Liu Wei Di Huang Tang (Rehmannia 15g, dogwood meat, yam 12g, Dan, Alisma, Poria each 10g), 1 / d, decoction 150mL, sooner or later oral. Metformin, 0.25 ~ 0.5g / time, 3 times / d. Insulin 30R 30min before meals, 20U ~ 30U / day, morning and evening subcutaneous injection. Continuous treatment of 10d for a course of treatment. Observation of clinical symptoms, risk factors, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] 45 cases were markedly effective, 15 cases effective, 0 ineffective and the total effective rate was 100.00%. [Conclusion] The combination of syndrome differentiation and traditional Chinese medicine in the treatment of diabetes mellitus is effective in treating side effects and is worth promoting.
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