2型糖尿病(T2DM)合并失眠的发病率持续增长,严重影响患者的生活质量。当前西医治疗T2DM合并失眠,通常在控制且稳定血糖的基础上,协同应用镇静催眠类药物,但该类药物长期使用易产生耐药性。中医治疗T2DM合并失眠不仅取得了较好的疗效,而且副作用小。本文对近几年临床上中医治疗T2DM合并失眠的研究进行收集整理,以期为后续中医治疗本病提供新思路和方法。The incidence of type 2 diabetes mellitus (T2DM) combined with insomnia continues to increase, which seriously affects the quality of life of patients. At present, Western medicine for T2DM combined with insomnia usually uses sedation-hypnosis drugs on the basis of controlling and stabilizing blood sugar, and long-term use of such drugs easily produces drug resistance. Traditional Chinese medicine treatment of T2DM combined with insomnia has not only achieved good curative effects, but also the side effects are small. This paper collects and collates the clinical research of traditional Chinese medicine treatment of T2DM combined with insomnia in recent years, in order to provide new ideas and methods for the follow-up TCM treatment of this disease.
糖尿病周围神经病变(Diabetic peripheral neuropathy, DPN)患病率高、且症状复杂,主要以凉、麻、痛、痿为特征。西医治疗DPN主要以降糖为基础,辅以营养神经或抗炎等手段,而中医则从改善患者症状入手,大大地减轻了患者的痛苦,从而提高患者的生存质量。近些年来应用中医药治疗DPN,取得了可观的疗效进展,有辨证论治、中药自拟方治疗、中药复方治疗、中药特色分期治疗、中药外治及针灸治疗等多种治疗方案。本文从以上几个方面综述近些年来运用中医药治疗糖尿病周围神经病变的最新研究进展,为糖尿病周围神经病变的治疗研究提供基础。The prevalence rate of diabetic peripheral neuropathy is high, and the symptoms are complex, mainly characterized by cold, numbness, pain and flaccidity. Western medicine treats DPN mainly on the basis of hypoglycemia, supplemented by nutritional nerve or anti-inflammatory means, while Chinese medicine starts with improving the symptoms of patients, greatly alleviating the pain of patients, and thus improving the quality of life of patients. In recent years, the treatment of diabetic peripheral neuropathy by traditional Chinese medicine has made great progress in curative effect. There are many treatment schemes, such as syndrome differentiation treatment, TCM self-formulated treatment, TCM compound treatment, TCM characteristic staging treatment, TCM external treatment and acupuncture treatment. This article reviews the latest research progress in the treatment of diabetic peripheral neuropathy with traditional Chinese medicine in recent years from the above aspects, and provides the basis for the treatment of diabetic peripheral neuropathy.
