聚证学说的建立和应用  

Foundation and application of aggregation syndrome theory in traditional Chinese medicine

作　　者：王文健[1] 

机构地区：[1]复旦大学中西医结合研究所,上海200040

出　　处：《中西医结合学报》2007年第2期111-114,共4页Journal of Chinese Integrative Medicine

基　　金：国家自然科学基金资助项目(No30672735);教育部博士学科点专项基金资助项目(No20050246041);欧洲糖尿病研究基金资助项目(Europen Foundation for the Study of Diabetes;21-08-2006)

摘　　要：本文在继承的基础上创新性地提出了中医聚证学说的基本框架。聚证的病因是先天禀赋不足和后天脏腑受损,导致气化障碍,邪热、湿浊、瘀血乘虚留驻,使精微不得化生和正常输布。聚证属虚实夹杂之证,应以攻补兼施为治则,散聚为基本治法。应用聚证理论指导代谢综合征患者的治疗,在症状好转的同时,胰岛素抵抗、血糖、血脂、体质量、腰围及炎症因子均有改善,证实了聚证学说的理论意义和应用价值。This paper proposes a new idea of the theory of Ju （aggregation） syndrome complex based on succeeding to traditional Chinese medicine. It presumes that the etiological factors of Ju are both heritage deficiency and postnatal viscerae damage, which cause the disturbance of qi-transformation, and thus, the evil heat, turbid damp and stagnated blood take the chance of retention in the body, to block up the production and distribution of the essence and energy. Ju is a mixed symptom complex of asthenia and sthenia, and should be simultaneously applied to purging-tonifying therapy and aggregation-dissipating method. Under the guidance of Ju theory, patients with metabolic syndrome were treated with Chinese medicine. The symptoms were relieved, and the insulin resistance, hyperglycemia, hyperlipidemia, body weight, waist circumference, and the inflammatory cytokines were improved, which confirmed the theoretical significance of the practical value of Ju theory.

关 键 词：证候 气化障碍 代谢综合征 聚证 

分 类 号：R221[医药卫生—中医基础理论]