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凉血止血祛瘀法对糖尿病大鼠作用机理的实验研究
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摘要
本课题针对糖尿病的发病特点,提出凉血止血祛瘀法。探讨了该法的理论基础,确立了凉血止血祛瘀法治疗糖尿病的有效方剂“济津汤”,对止血法治疗糖尿病进行了深入研究,扩展了止血法的应用范围。应用由链脲佐菌素造成的实验性糖尿病大鼠动物模型,以FBG、Ins、C-P以及血液流变学为指标,从病理组织形态学角度对该法的治疗效果进行研究,阐明了凉血止血祛瘀法在糖尿病治疗上的有效性。实验结果表明:凉血止血祛瘀法可以有效降低糖尿病大鼠的FBG,其作用机理可能是通过改善胰岛β细胞的分泌功能实现的。凉血止血祛瘀法可以有效地缓解糖尿病状态下的微循环障碍,提示该法能够对微循环改变所导致的糖尿病并发症进行干预。凉血止血祛瘀法对糖尿病大鼠的胰腺、心脏、肾脏的病理改变均有不同程度的治疗作用,说明该法能够缓解由链脲佐菌素所导致的胰岛β细胞损伤,并对糖尿病心、肾并发症的产生有一定治疗作用。实验结果在证实该法治疗糖尿病有效性的同时,为扩展凉血止血祛瘀法的应用范围提供了客观依据。研究结果说明,精微耗散这一病理基础贯穿糖尿病始终,凉血止血祛瘀法是阻止糖尿病状态下体内精微损耗和散失的有效治法,对糖尿病并发症也有一定的疗效,值得深入研究。
The evidence from the experiments described in the article aimed at the pathogeny of Diabetes Mellitus (DM) and advances the therapy of cool blood and block blood and break stasis. The base of the therapy in theory and the establishment of an effective prescription named Jijintang, which expresses the therapy of cool blood and block blood and break stasis, are studied and discussed. A cure using the therapy of block blood on DM is studied intensively, thereby advancing its range for application. The test model used diabetes mellitus rats, which were treated by STZ. The hemorrheological indexes were observed and the FBG, the Ins and C-P were examined and analyzed by Microscopic to observe microcosmic pathological changes. The experiments showed that the therapy was effective against DM. The study's conclusion is that (a) The therapy of cool blood and block blood and break stasis can reduce the DM in rats' FBG and that the effect may be caused by the improvement of B-cell in the pancreas; (b) the therapy can i
    mprove the microcirculation effectively, thus reflecting that the therapy can cure the amalgamating symptoms in DM; (c) The therapy can prevent pathological changes in the pancreas, heart and kidney and shows that it can cure the damage of B-cell in the pancreas along with the amalgamating symptoms affecting the heart and kidneys. The results demonstrate the effect of the therapy on treating DM and gives evidence that the range for application should be advanced. The study results also indicate that there is a missing cream existing in the disease of DM. The therapy is an effective treatment in preventing the missing of essence in DM and helps in the cure of the amalgamating symptoms that develop. The studies of the therapy of cool blood and block blood and break stasis are worthy of more intensive examination.
引文
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