扶脾理肝法治疗肥胖2型糖尿病浅析  

A Brief Analysis of Method of Reinforcing the Spleen and Regulating the Liver for Obese Type 2 Diabetes Mellitus

作　　者：唐咸玉[1] 孙璐[1] 曾慧妍[1] 何柳[1] 何嘉莉[1] TANG Xianyu;SUN Lu;ZENG Huiyan;HE Liu;HE Jiali

机构地区：[1]广东省中医院内分泌科,广东广州510120

出　　处：《新中医》2018年第12期261-263,共3页New Chinese Medicine

基　　金：广东省自然科学基金项目(2016A030313630)

摘　　要：肥胖2型糖尿病(T2DM)正成为危害人类健康的流行性疾病,其多由先天禀赋、情志、饮食、生活方式等因素导致脾失运化、肝失疏泄、气机不畅,水谷肥甘之物转变为痰湿脂质积聚体内所成。其中脾肝功能失调在本病发病过程中起重要作用,脾虚湿滞是肥胖T2DM存在的体质基础,气机不畅是其重要发病条件。临床辨治肥胖T2DM从脾虚及气机不畅入手,运用扶脾理肝法治疗肥胖T2DM是一种有益的探索。Obese type 2 diabetes mellitus(T2DM) is developing into an epidemic disease which is harmful to human health. The failure of the spleen to transport and transform, the failure of the liver to govern the free movement of qi, and the disorder of qi movement are mostly caused by constitution, emotion, diet and life style. Water, grain, fat and sweet food are transformed into phlegm-dampness and lipid accumulated in human body. The disharmony of the spleen and the liver plays an important role in the pathogenesis of this disease. Spleen deficiency and dampness stagnation is the constitutional basis of obese T2DM,and the disorder of qi movement is its important inducing condition. The clinical treatment of obese T2DM based on syndrome differentiation starts from spleen deficiency and the disorder of qi movement. The method of reinforcing the spleen and regulating the liver for obese type 2 diabetes mellitus is a kind of beneficial exploration.

关 键 词：2型糖尿病 肥胖 中医药疗法 扶脾 理肝 

分 类 号：R587.1[医药卫生—内分泌]