2型糖尿病中医病因病机探讨  

Discussion on TCM etiology and pathogenesis of type-2 diabetes

作　　者：张琪琛[1] 张洪钧[2] 周冬卉 王晓迪[1] 菅庆林 杨镇宇[2] 

机构地区：[1]中国中医科学院研究生院,北京100700 [2]北京中医药大学东直门医院体质医学门诊,100700 [3]北京中医药大学,100029

出　　处：《国际中医中药杂志》2016年第1期9-12,共4页International Journal of Traditional Chinese Medicine

摘　　要：本文基于大样本临床流行病学调查，运用中医理论阐释糖尿病的病因病机。根据《黄帝内经》，历代医家论述及现代学者相关研究认为，2型糖尿病类似于《伤寒论》之厥阴病，升降逆乱、寒热虚实错杂，病位以脾为中心，与肝木、肺金关系密切；病机为脾土失运、脾精过耗、五脏精气虚浮，营气郁于营血分不能化生卫阳、反成湿浊下流，形成阴火证。脾土失运之病因包括肺金压抑、肝气横逆、中土湿蕴及肾气不足。Based on large sample of clinical epidemiology survey, we discussed the etiology and pathogenesis of type-2 diabetes. On the basis of Internal Classic ofHuang Di, and discussions of both ancient and modem doctors, we believed that： type 2 diabetes is just like Jueyin disease of Treatise on Febrile Disease, characterizing by adverse-rising of Qi, cold mingling with heat and deficiency mingling with access. The diseased location is spleen, and closely related with liver and lung. The pathogenesis is the failure transportation and transformation of spleen, floating of deficient five visceral essence, and turbid dampness flowing down to form yin fire syndrome. The reason for failure transportation and transformation of spleen includes depression of lung, adverse flow of liver-qi, dampness accumulation in the middle and deficiency of kidney Qi.

关 键 词：糖尿病 2型 病因病机 五运六气 体质 厥阴病 

分 类 号：R259[医药卫生—中西医结合]