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邝安堃,丁霆,陈家伦,许曼音,陈名道,陈梦月.男性Ⅱ型糖尿病中医辨证论治与血浆性激素关系的初步观察[J].中国中西医结合杂志,1983,(2):79-81,66
男性Ⅱ型糖尿病中医辨证论治与血浆性激素关系的初步观察
Relations between TCM Deficiency Syndrome and Plasma Sex Hormones and Effects of TCM Treatment in Diabetes iellitus
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DOI:
中文关键词:  性激素  糖尿病患者  型糖尿病  病态窦房结综合征  中医辨证论治  血浆雌二醇  冠心病  非胰岛素依赖型  正常人  男性
英文关键词:
基金项目:
作者单位
邝安堃 上海市内分泌研究所 
丁霆 上海市内分泌研究所 
陈家伦 上海市内分泌研究所 
许曼音 上海第二医学院瑞金医院内科 
陈名道 上海第二医学院瑞金医院内科 
陈梦月 上海第二医学院瑞金医院内科 
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中文摘要:
      现已证实男性冠心病、病态窦房结综合征及Ⅱ型(非胰岛素依赖型)糖尿病患者血浆雌二醇(E2)升高,雌二醇与睾酮的比值(E2/T)升高。前两种疾病经中医辨证,用益气、补肾、助阳法治疗后,随着临床症状的改善,血浆性激素浓度趋向于正常。本文探讨了糖尿病患者中血浆性激素与虚证的关系,提出
英文摘要:
      32 normal male subjects were divided into 3 groups according to TCM diagnosis.With the exception of 4 with perfect Yin and Yang coordination,14 tended to be Yang Xu(NT-Yang Xu)and 14 tended to be Yin Xu(NT-Yin Xu).There were no significant differences in plasma E2/T levels.46 male type Ⅱ diabetics were divided into 2 groups,28 Yang Xu and 18 Yin Xu.There were also no differences in the levels of Plasma E2/T. However,E2,T and E2/T were significantly different between Yang Xu diabetic group and NT-Yang Xu group, E2 (P<0.05)and E2/T being higher in the former,T being lower(P<0.001).Compared with NT-Yin Xu,E2/T were higher in the Yin Xu diabetic group. It has been found that E2/T was elevated in Yang Xu cases of coronary heart disease and sick sinus syndrome and that E2/T ratio decreased significantly with TCM tonifying Yang of the kidney.An hypothesis was made that elevated F2/T might represent both Yin and Yang deficiency of the kidney.In the treatment of 22 male type Ⅱ diabetics with TCM by regulating Yin and Yang and by tonifying the kidney,the elevated E2 and E2/T tended to drop towards normal levels with improvement of the clinical symptoms.This seems to prove that the hypothesis is reasonable.
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