黎彦麟 刘璐佳 田苗

    [摘要] 糖耐量减低(IGT)是糖尿病的前期阶段，若不及时治疗，随着时间的延长会增加2型糖尿病的发生率，亦会增加发生心血管疾病的风险。然而IGT阶段具有高度的可逆性，若能积极干预可有效预防其发展为糖尿病。张福利教授根据多年临证经验，认为IGT在中医属三焦病范畴，主张IGT存在以“三焦失运”为本、“痰湿瘀热”为标的病机特点，创新性地提出在三焦气化理论的指导下以分消走泄法为治疗原则，遣方用药以温胆汤为核心，进行加减化裁，创立化瘀温胆汤，奏疏利三焦，湿热、气血同治之功，标本兼顾，疗效极佳，并附医案印证，为IGT的治疗提供了新的思路。

    [关键词] 糖耐量减低;三焦气化;分消走泄法;化瘀温胆汤;验案

    [中图分类号] R246.1? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)03(a)-0139-04

    [Abstract] Impaired glucose tolerance (IGT) is the early stage of diabetes. At this stage， if not treated in time， the incidence of type 2 diabetes will increase with time， and it will also increase the risk of cardiovascular disease. However， this stage is highly reversible， so active intervention can effectively prevent the development of diabetes mellitus. According to professor Zhang Fuli′s many years of clinical experience， IGT belongs to the category of triple energizer disease in traditional Chinese medicine. Professor Zhang claimes that IGT is characterized by pathogenesis based on the “loss of sanjiao” and “phlegm dampness and blood stasis heat”. Based on this innovative proposal ......