폭풍 경보가 계속되고 있습니다. 붉은 기생충이 내뿜는 적사(赤沙)바람이 계속되고 있습니다. 조국보다도 어제 돌아온 문재인이 더 걱정입니다. 양심이 원래 없었는지? 권력에 취해서 양심이 마비되었는지?
정신과 전문의사 한 분이 '조국사퇴 국민행동' 무기한 농성장에 찾아와서, '정신과 중증환자 조국'은 평생 보지 못한 괴물이라고 합니다. 얼굴 표정을 전혀 바꾸지 않고, 거짓말을 계속하면서도, 사법개혁을 위해 법무부장관을 할 수 있는 사람은 자기뿐이라고 합니다.
청문회는 역시 거짓말대회로 끝났습니다. 그러나, 검찰은 아내 정경심을 기소했습니다. 붉은 기생충 조국 가족을 강타했습니다. 태풍이여! 문재인•조국 붉은 기생충 무리들을 쓸어가소서!
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조국 "나는 자유주의자이자 사회주의자…"
--->조국은 확실히 정신과 중증환자이거나, 아니면 자유주의 정확한 의미를 모르는 듯 하다. 위의 말은 "나는 남쪽과 북쪽으로 동시에 갈 수 있다"라는 말처럼 엉터리다.
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Lou Dobbs
#AmericaFirst - @GordonGChang: China made this investment in the Bahamas & it will end up being bases for their military. We could have a Chinese naval port less than 90 miles from us. The Chinese are going to put a lot of money into this & we need to put in more
바하마에 중국이 해군기지를 건설하려는 듯하다. 19세기적인
세계관을 지닌 시진핑이 죽으면, 좀더 현실적인 지도자가 나오
려나? 13억 중국 인민은 전체주의의 손아귀에서 벗어날 수 있
으려나?
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How can #China's economy be growing while imports, a reliable measure of domestic demand, are falling? With other indicators, the drop in imports tells us the Chinese economy is contracting.
Trinh Nguyen
Did u know that while China GDP was 13.1trn & the
US is 20.4trn, China imported almost as much as the
US & more than the Euro zone in 2018? This is why
the decline of Chinese demand is consequential.
Imports in 2018:
2.6
2.1
2
2.6
2.1
2
중국의 수입 감소는 매우 중요한 의미를 지닌다.
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Theresa Fallo
Attended a conference and noticed that several Chinese scholars began their remarks by saying how much they loved China. The first time I thought that the speaker was vy patriotic but then it kept happening. Has anyone else noticed this, I wonder if it is a new trend/speaking pt?
학회에 참가하면 중국 학자들이 서두에 항상 중국을 사랑한다
는 말로 시작했다. 이것이 중국의 새로운 유행인가?
---->새로운 문화혁명의 시작?
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출처 일베
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조국, 이번엔 본인 나이 속인 의혹...
"인생이 숨쉬는 거 빼고 다 거짓"
강 변호사는 "나이나 이름은 법원장 전속관할이어서 조그만 지원장만 알면 쉽게 바꿀 수 있다"며 "조국 딸도 생일 변경도 지방 창원지법에서 서울대 법대 동기가 해줬다"고 언급했다.
그러면서 "조국은 인생이 숨 쉬는 것만 빼고 다 거짓"이라며 "조국은 82학번, 1963년생이 맞다"고 단언했다.
출처 : 아시아타임즈(http://www.asiatime.co.kr)
그러면서 "조국은 인생이 숨 쉬는 것만 빼고 다 거짓"이라며 "조국은 82학번, 1963년생이 맞다"고 단언했다.
출처 : 아시아타임즈(http://www.asiatime.co.kr)
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[특종] 문재인 조선노동당 비밀당원 의혹
단독] "문재인은 로동당 당원" 충성맹세문서 발견
사실이라면 핵폭탄급 폭로지만, 이미 함박도
문제가 언론에 노출되었는데도, 아무 반응이
없는 맛이 간 국민들로 볼 때, 이게 과연 폭발
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공짜 점심의 혹심한 대가
정부가 부채로 정부의 소비에 돈을 대면, 이로 인해 투자에 쓰려던 돈은 사라지게 되는데, 그 돈은 경제의 번영을 가져올 수 있었던 돈이다.
미국을 비롯한 기타 국가들은 어떻게 기록적인 국가 부채를 안고서 동시에 극히 낮은 금리를 유지하는 것일까? 그것은 바로 돈을 찍어내는 것인데, 다른 말로 “양적 완화”이다.
사회 하층의 사람들은 그들 실질 소득의 점차적 감소를 자본주의 탓으로 돌리고 있지만, 그들이 정말 비난해야 할 대상은 바로 중앙은행이다.
레닌이 말했듯이, 한 사회의 기반을 붕괴시키는 데는 통화를 타락시키는 것보다 더 좋은 방법이 없다.
The High Price of a "Free Lunch"
Frank Hollenbeck
One of the Ten Commandments is “thou shalt not steal,” and theft is generally condemned in most religions, yet our religious leaders and followers have essentially turned a blind eye to government theft.
Based on a policy of envy, Bernie Sanders, for example, has bluntly stated he intends to tax the rich to fund his programs, as though the word rich itself justifies theft. The current crop of other democratic candidates is offering a beehive of free programs without any real discussion on how to pay for them.
Three Ways to Pay for the State
Governments can finance these programs in only three ways: (1) direct taxation of its citizens, (2) borrowing money, and/or (3) printing money. Few citizens understand the nefarious effects these methods can have on their own well-being. None of them provide “free” money.
The first and most obvious way to raise money is by direct taxation. When you pay your income tax or sales tax, you are brutally aware of how much money is being taken out of your own pocket. If the government only uses these taxes to fund itself, it would quickly run into serious taxpayer opposition; would we still be in Afghanistan today if the government took your flat-screen TV or cell phone to pay for soldiers half a world away?
The second way to raise money is by government borrowing. When the government borrows, it takes money from people who are trying to save, promising a seemingly riskless asset: a government bond. The government has displaced money that would normally have been used to invest in a new computer or machines or buildings, or even a consumption good as a new car. When the government borrows, there are real sacrifices today, not in some distant never existing future when the debt is repaid. There are real resources that are extracted from the economy in the now and present. This is a good example of what is seen, what is not seen and what should be foreseen. Government borrowing finances government consumption which crowds out investment spending that would normally have created a more prosperous economy.
Government Crowds Out Other Borrowers
Now, government borrowing is normally also constrained. The more the government borrows, the greater the demand for loanable funds and the higher the rate of interest. Here again, taxpayers who are also trying to borrow to buy a car or a house would soon realize that it’s the government borrowing that is crowding them out of the loan market. Of course, there is a point of no return for government debt, when the markets doubt a country’s ability to repay this debt — as Greece discovered in 2010.
Now, the obvious question is, how can the US or any other country run record budget deficits and have rock-bottom interest rates at the same time? The answer is the third way by printing money, or often called “quantitative easing.” This way also impacts the government’s ability to borrow.
A simple example will make this path of funding clearer. Suppose an economy has $10 to purchase 10 pencils. The price of the pencils will be $1 each. If the price increases (inflates) to $2 each while the supply remains constant, there would be 5 pencils that can’t be purchased, but if the cost of the pencils were reduced (deflated) to only 50¢ each, there would be people holding $5 looking to purchase nonexistent pencils. Supply and demand in the marketplace give us a price of $1 per pencil. Now suppose the economy is growing and is now producing 20 pencils. Because there are now more pencils in the supply pipeline, the price of pencils will drop to 50¢, a deflation rate of 50%. Deflation here reflects society pushing back the constraint of scarcity. It cannot eliminate scarcity or all prices would be zero, but this deflation shows an increase in the standard of living for everyone.
Two of the greatest periods of GDP growth in the US, 1820 to 1850 and 1865 to 1900, had deflations of 50%. Deflation should be hailed instead of being scorned as it is currently by most professional economists and central bankers.
Now, returning to our initial example of $10 and 10 pencils. Suppose the government prints another $10 to buy pencils but our supply of pencils has not changed. The money supply has doubled so we now have $20 chasing 10 pencils. The price for each pencil will inflate to $2, and the government will be able to buy 5 pencils by cutting the purchasing power of money in half. In other words, you have been robbed or taxed 5 pencils because your cash can now purchase less than before.
If at the same time the economy is growing, then we would have $20 chasing 20 pencils and the price of pencils would have remained at $1. There is no inflation but the rise in real income, exemplified by the 10 pencils that would normally have gone to the citizenry, has been siphoned off or stolen by the government. To a large degree, this is what has been happening since we moved to a fiat currency system in 1933. The central bank has been keeping the CPI in check but has created massive asset inflation, a massive redistribution of income from the poor to the rich and has been a major contributor to financing ever-growing government expenditures.
As Lord Keynes said,
By a continuing process of inflation governments can confiscate, secretly and unobserved, an important part of the wealth of their citizens. By this method, they not only confiscate, but they confiscate arbitrarily; and, while the process impoverishes many, it actually enriches some. The sight of this arbitrary rearrangement of riches strikes not only at security but at confidence in the equity of the existing distribution of wealth.
Many in the lower rungs of the economic ladder blame their declining real incomes, and other inequities, on capitalism. They should, instead, be blaming the central bank.
When the government borrows, it increases the demand for loanable funds, and with a fixed supply, interest rates should normally rise. If at the same time the central bank is increasing the supply of loanable funds by printing money to buy government bonds, then interest rates will decline if the increase in supply is greater than the increase in demand. Here, we are basically monetizing the debt. Worldwide, this printing has currently driven interest rates to zero or into negative territory. Using the economy as an excuse, central banks have been monetizing government debt, alleviating any pressure on governments to control their spending.
Continuing from Keynes,
As the inflation proceeds and the real value of the currency fluctuates wildly from month to month, all permanent relations between debtors and creditors, which form the ultimate foundation of capitalism, become so utterly disordered as to be almost meaningless; and the process of wealth-getting degenerates into a gamble and a lottery.
Lenin was certainly right. There is no subtler, no surer means of overturning the existing basis of society than to debauch the currency. The process engages all the hidden forces of economic law on the side of destruction, and does it in a manner which not one man in a million is able to diagnose.
Many economists are currently predicting we will experience another devastating recession in the US. Will we repeat the errors of the past by trying to fix a credit crisis with more debt? Or will we find a permanent solution by ending central banking, fractional reserve banking, and the government’s ability to borrow and print money? If we do, any future government spending would require an immediate and clear sacrifice on the part of the citizenry: unlike what politicians would have you believe; there is no free lunch.
Frank Hollenbeck has held positions at international universities and organizations.
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통샤린교수, 갈근금련탕으로 직장염을 치료하다
仝小林教授应用大剂量葛根芩连汤治疗直肠炎经验
葛根芩连汤为《伤寒论》治疗协热利的方剂，仝小林教授临床善用此方治疗肠道湿热的病证，临床辨治以症为靶，以证为基，以病为参，3者有机结合，扩大经方的运用。笔者以仝小林教授治疗直肠炎为例，通过解析临床运用葛根芩连汤、黄芩汤、白头翁汤等方剂治疗直肠炎的经验，阐述仝小林教授“症一证一病”结合的辨治策略，并从剂量上阐释重剂起沉疴的意义。
1病案资料
梁某，男性，19岁。2009年9月11日初诊。主诉：腹痛、腹泻1个月。现病史：患者1个月前无明显诱因出现腹痛腹泻，伴有脓血便。人院查便常规黏液(++++)，便潜血(0B)(+)，脓细胞(+)，红细胞(++)。肠镜示：直肠出血、炎症。诊断为直肠炎，给予消炎药治疗(具体不详)，服用14 d，诸症未缓解，自行停药，求诊中医。查看前中医治疗方以清热解毒之金银花、穿心莲、败酱草等为主，服用10剂，未缓解，今日求诊。刻症：腹痛欲便、腹泻，里急后重，大便10余次，d，脓血便，伴有大量黏液，腰骶部疼痛。纳食可，眠安。小便正常。苔黄厚腻，脉弦滑数。中医诊断：痢疾，肠道湿热证。西医诊断：直肠炎。处方：葛根30 g，黄芩60 g，黄连60 g，炙甘草30 g，炒白术30 g，白芍60 g，黄芪30 g，白头翁30 g，白矾9 g，生姜3片。14剂，水煎服，每日1剂。2009年9月25日复诊，服上方14剂，腹痛消失，脓血便消失，大便3~4次／d。处方：上方加木香15 g。水煎服，每日1剂。患者继续服用14剂，来诊，腹痛、腹泻已愈．大便1-2次／d，便常规查均为阴性。纳眠正常，小便正常。
2诊治体会
患者以“腹痛、腹泻、脓血便”为主诉来诊，诊断为“直肠炎”，诊断明确，主症明确，腹痛为里急后重，见黄厚腻苔，本方证是由湿热塞滞肠中，气血失调所致。湿热蕴结肠道，搏结气血，酿为脓血，而为脓血便；湿热阻滞肠道气机、灼炼肠道，则见腹痛、里急后重：舌苔黄腻，脉弦滑数等俱为湿热内蕴之象。治疗当清热燥湿．调和气血之法。
处方以葛根芩连汤为主方，合黄芩汤、白头翁汤。葛根芩连汤为《伤寒论》治疗协热下利而设，为清理肠道湿热之主方。黄芩汤为《伤寒论》太阳少阳合病下利而设，由黄芩、芍药、甘草、大枣组成，养血清热利湿。白头翁汤为《伤寒论》治热毒痢疾所设，由白头翁、黄连、黄柏、秦皮组成，清热利湿止痢。三方合方，清热燥湿、调气行血。重用黄芩60 g，黄连60 g，白头翁30 g清利肠道湿热，燥湿止痢。炙甘草30 g，炒白术30 g，益气健脾，增强脾胃运化湿热之功。白矾酸涩性寒，能消痰，燥湿，止泻，止血，《神农本草经》载其“主寒热泄痢”。葛根生津止渴以养阴液，防止重泻伤阴；又升阳举陷。防止气耗脱肛；又升发阳气，透邪于外。重用白芍60 g，刘完素在《素问病机气宜保命集》载芍药汤，重用芍药重在清热燥湿、调气和血，治疗里急便脓之湿热痢疾；又芍药微寒，泄热养血和营，为“行血则便脓自愈”之义．又防湿热邪毒熏灼肠络，伤耗阴血；芍药与炙甘草合用．芍药甘草汤缓急止痛，仝小林教授每用此药对治疗腹痛，芍药量可以至90 g；黄芪健脾益气，升阳举陷，与白芍同用，气血同补，调气和血。生姜行肠道水湿，与又佐制芩、连等苦寒药之寒凉。二诊诸症好转，加木香行气导滞，有芳香醒脾，鼓舞脾气的运化，以恢复肠道功能：且性温以佐制诸药之寒凉。
3小 结
仝小林教授倡导辨治选方当结合症、证、病3个要素，同时充分运用现代药理的研究成果，促进中药药理的临床回归，提高中药药理、药效研究成果的临床运用。现代药理研究证实葛根芩连汤、黄芩汤、白头翁汤具有较强的抑菌作用，能有效治疗细菌性痢疾。细菌性痢疾的治疗当以清热燥湿为主，黄连、黄芩为其主药。能有效调节肠道菌群；葛根生津养阴；炙甘草益气缓急。故葛根芩连汤为治疗菌痢的专方 。同时应当注意气血的调摄，用白芍能调节气血又止腹痛，为治疗菌痢之专药 。在用药剂量方面，有是证，用是方，还须用是量。患者病重，杯永车薪，要快速纠正患者肠道菌群，并止泻，故黄芩，黄连、芍药宜30~60 g。
《伤寒论》中用葛根芩连汤为治疗协热利而设，其基本病机为肠道湿热，故经方新用的基础就是把握方证。仝小林教授临证善用葛根芩连汤，如2型糖尿病、脂肪肝、单纯性肥胖、溃疡性结肠炎、小儿病毒性肠炎等病见．肠道湿热病证者。
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통샤린의 당뇨병 치료법
仝小林院士從火論治糖尿病
古代糖尿病和現代糖尿病有本質的區別嗎？沒有，二者都是「此肥美之所發也」，「此人必數食甘美而多肥也」。但是古代為什麼分三消，以治虛為主？陰虛為本，燥熱為標？因不似現代靠血糖便可診斷，古代不到「消渴」，診斷不出來。而一旦到「三多一少」階段，大多數已是糖尿病中晚期了。所以消渴並不能賅括現代糖尿病。
我們統計了門診5930例糖尿病病人的舌象：其中陰虛燥熱的少苔、無苔、舌瘦小所佔比例不足10%，痰濕濁熱的厚腐膩苔佔50%，苔色黃佔30%，舌紅或暗紅佔54%。表明現代糖尿病是以過食肥甘、中滿內熱而產生的痰濕濁熱瘀為主流的證型，較之古代消渴已發生了根本性變化。若仍以滋陰潤燥法治療痰濕濁熱型糖尿病，則是打錯了靶位。
糖與脂
2型糖尿病，為什麼這十幾年激增？因為吃得太好，而不僅僅是吃得太多。好在哪裡？油脂太多。回想上世紀五六十年代，甚至上世紀七八十年代，缺少「油水」，吃的主食很多，一頓四、五兩，甚至半斤、一斤，有幾個得糖尿病？很少！而現在呢？主食大大減少了，一頓一小碗，但糖尿病激增。為什麼？過去一年吃幾次肉，而現在是天天吃肉。所以對於糖尿病患者，要求他們減「脂」，而不是減「食」。
高脂飲食，很可怕，「腸肥」能不「腦滿么」？「腦滿」能不得腦血管病么？「腸肥」，能不「肝肥」（脂肪肝）「胰肥」（脂肪胰）「心肥」（脂肪心）么？血管里，「漂著油」，能不動脈硬化么？能不得代謝性高血壓么？能不腦梗、心梗么？所以，很多2型糖尿病都是「脂糖病」，結局是心腦血管病。故防治2型糖尿病的重點，首先是「洗腦」，認識糖尿病的最大危害是「油膩」。其次是自我管理：以素為主，遠離油膩，遠離肥胖。中醫治療的重點在於清理胃腸，保持升降平衡。
三消之說當從火斷
金元時期，劉完素《三消論》指出：「凡見消渴，便用熱葯，誤人多矣。」指出消渴之治，不在溫補。張子和《儒門事親·三消之說當從火斷》更明確說：「五行之中，惟火能焚物；六氣之中，惟火能消物……消之證不同，歸之火則一也。」此是從火論治消渴之重大創建。2型糖尿病早中期，釜底抽薪為治本之法。
「三消之說當從火斷」，是張子和的著名論斷，對後世治療消渴影響至深。張子和《儒門事親·三消之說當從火斷》說：「以八味丸治渴，水未能生而火反助也……腎本惡燥，又益之以火可乎？」子和私塾於劉完素，在寒涼葯使用上頗有體會。這些醫家，提倡釜底抽薪治療消渴，善用三黃丸等，是從火論治糖尿病的先驅。
辨治心法
2型糖尿病
肥胖2型，鬱熱虛損。
肥癉消渴，三段過程。
抓住病理，胃腸中心。
四逆煮散，肝胃郁散。
厚朴三物，消除土壅。
大柴胡湯，肝胃鬱熱。
痰熱互結，唯小陷胸。
葛根芩連，腸道濕熱。
白虎人蔘，肺胃熱盛。
大黃黃連，胃腸熱清。
脾虛胃熱，半夏瀉心。
姜連芩參，寒熱並存。
上熱下寒，烏梅丸靈。
脾腎陽虛，附子理中。
陰陽俱損，八味收功。
活血通絡，貫穿始終。
註：仝小林教授提出，肥胖2型糖尿病，其病理中心在胃腸。多由實起，再由實轉成虛實相間，最後以虛為主。即肥胖2型糖尿病發展的四大階段：郁→熱→虛→損，這也符合疾病由實轉虛的一般規律。肥癉消渴，即肥胖2型糖尿病從肥胖→脾癉→消渴的疾病演變三段過程。
中滿內熱是肥胖2型糖尿病的核心病機。滿就是土壅，需要開郁通腑；內熱就是胃熱、腸熱、肝熱、肺熱，需要清熱。所以仝小林教授提出開郁清熱為肥胖2型糖尿病的治療大法。糖尿病的治療，經方療效卓著。
實證階段：清熱通腑，以大黃黃連瀉心湯為基礎方。土壅木郁用四逆散、厚朴三物湯；肝胃鬱熱用大柴胡湯；痰熱互結用小陷胸湯；腸道濕熱用葛根芩連湯；肺胃熱盛用白虎加人蔘湯。虛實相兼階段：脾虛胃熱，半夏瀉心湯；寒熱錯雜，乾薑黃連黃芩人蔘湯；上熱下寒，烏梅丸。
虛證階段：脾腎陽虛，附子理中湯；化源不足，八味地黃丸。因糖尿病逐漸出現大血管和微血管病變，導致絡脈瘀阻，甚至絡脈瘀閉及絡脈損傷，故早期即應注重活血通絡，並且貫穿全程。
從衛氣營血的發展過程辨治1型糖尿病
因為1型糖尿病許多是突發甚至爆發，往往與感染特別是呼吸道感染相關，常有多個抗體陽性。胰島功能常在半年（兒童）至數年（LADA，成人隱匿性免疫性糖尿病）迅速衰竭。血糖極高，症見口乾口渴，屬於肺胃熱盛的白虎加人蔘湯證；之後氣分之熱，耗氣傷陰，氣陰兩虛；若干年後，漸入營血；之後就是肝腎陰虛，脾腎陽虛。所以，我們對1型糖尿病，常用升降散透邪出表。仝小林教授理解，是個衛氣營血的慢病過程，和慢性腎小球疾病有類同之處：由外感特別是呼吸道感染起病，之後轉為慢性疾病。這或許是我們將溫病學說用於某些慢病分階段辨治的理論基礎。
方葯運用
仝氏黃赤方
【方名解】黃連瀉氣熱；赤芍清營熱。
【組成】黃連15克，赤芍30克，生地黃30克，知母30克，天花粉30克，山萸肉15克，西洋參6克，乾薑6克。
【方歌】糖尿芍地氣營熱，連知洋花口乾渴，萸肉斂汗濟肝腎，苦寒傷胃乾薑佐。
【主治】糖尿病氣營蘊熱，症見口乾渴，面赤，手足心熱，汗多等。
【治療要點】可獨立降糖，合用西藥注意減量。
仝氏洋花連梅飲
【組成】黃連15克，烏梅15克，西洋參6克，天花粉30克。
【方歌】洋花連梅胃熱除，苦酸制甜氣陰復。
【主治】糖尿病引起的口乾苦、口渴多飲、多食、多尿等消渴之證。
【方解】大自然中，苦為甜之對立，酸為甜之中和。糖尿病為一「甜病」，故苦酸可以制甜。此方黃連清胃火，烏梅生胃津，連梅苦酸制甜。西洋參益氣，天花粉養陰。
註：①苦酸制甜：苦如黃連、苦瓜、苦丁茶；酸如烏梅、山茱萸、酸棗仁。②連梅湯，出自《溫病條辨》，原方組成：黃連、烏梅、阿膠、麥冬、生地。主治暑羈少陰之消渴。
葛根芩連湯
2型糖尿病早中期，很常見的證型之一是腸道濕熱證。其辨證要點有二：一是大便黏臭；二是舌苔黃厚膩。主以葛根芩連湯。一般處方劑量：葛根30克，黃芩30克，黃連15克，生薑三片（以生薑易甘草）。加強化濕，可加荷葉、滑石；加強化濁，可加紅曲、晚蠶沙。若濕熱傷陰，加天花粉、石斛。
黃連
心法要訣
川連味雖苦，甜病少不了。
苦寒不傷胃，和姜成對葯。
降糖宜量大，調胃宜量小。
辛開消痞氣，苦降氣機調。
黃連小量三五克，佐以辛開調脾胃。
解毒清火需大劑，癰膿瘡癤胃熱退。
苦寒敗胃佐乾薑，易發便秘大黃配。
肝病用連需謹慎，茵陳保肝合五味。
註：黃連，糖尿病第一要葯。糖尿病，俗又稱之為「甜病」。天下之病，皆是一物降一物。甜的天然對立就是苦。所以，幾乎所有苦味之葯，都可以降糖。如：梔子、知母、龍膽草、黃柏、黃芩、苦瓜、苦丁茶等。這一類苦寒之葯，可以降低代謝，菌毒炎糖並治。配暖胃之生薑、乾薑、炮姜，可去其苦寒傷胃之弊。
仝小林教授用黃連，調理脾胃，多在1.5～6克；清熱瀉火解毒，短程應用，多在15～30克；而降糖，15～30克為常用量，糖尿病酮症最大用至120克。應用要點：①視血糖下降而遞減；②必配乾薑，以防苦寒傷胃。脾胃正常者，黃連：乾薑=6：1；脾胃虛弱者，黃連：乾薑=3：1或1：1。如此配伍，可存其降糖之用，而去其苦寒之性。但基礎有各種原因肝病的糖尿病病人(包括脂肪肝)，在使用黃連、柴胡時要特別小心，一是劑量不宜過大，二是時間不宜過久，三是定期複查肝功能。
黃連佐姜
不知反佐，視黃連為虎狼，唯恐傷胃；
真懂苦寒，奉黃連為神葯，專治甜病。
註：反佐，姜為黃連之反佐，可去其苦寒之性，存其降糖之用。姜，可為乾薑、生薑、炮姜，當根據具體情況選擇。
苦寒傷胃，常常是苦寒葯共同的副作用，也是限制這一類葯應用的癥結，尤其是偏於虛寒體質者，但往往這些苦寒葯的作用又無法替代。仝小林教授的多年體會，姜是最有效的溫胃藥，是苦寒葯最好的佐劑，可使苦寒葯的適應症大大擴展，實現苦寒而不傷胃。中醫君臣佐使的「佐」，其意在此，其魅力在此。
乾薑，是運用苦寒降糖的關鍵佐葯。其溫胃散寒之功，其他熱葯難以替代（如附子、肉桂、吳茱萸等）。苦是甜的天然對立，所以大多數苦寒葯均可降糖，而長期用苦寒葯，最易傷胃。仝小林教授用乾薑反佐苦寒，終於解決了這一難題。即使中晚期，仍可用苦寒降糖。
生薑，也可以佐苦寒。它與乾薑的最大不同是辛散發汗作用較強。糖尿病病人有兩種人易出汗。一種人是實熱，一種是氣虛。實熱者，以生薑佐苦寒，發汗可助泄熱，病人出汗不覺難受。但若氣虛，汗多反傷正氣，故氣虛多汗之糖尿病，不宜用生薑反佐，而用乾薑。
附子
血糖高，無非兩類：壯火有餘和少火不足。中滿內熱，壯火有餘者，黃連為其剋星；少火不足，代謝低下，附子為其舟楫。《素問·陰陽應象大論》：「壯火食氣，氣食少火」「壯火散氣，少火生氣」。只有「壯火之氣衰」，才能「少火之氣壯」。臨床常用附子合理中丸、小半夏湯治療中焦虛寒之糖尿病胃輕癱。
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