从脾气虚兼痰湿体质论治糖尿病前期  被引量:6

Treatment of Pre-diabetes from the Constitution of Spleen Qi Deficiency and Phlegm Dampness

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作  者:詹佳佳 卫艺芬 沈璐 ZHAN Jiajia;WEI Yifen;SHEN Lu(Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,Shaanxi,China;Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,Shaanxi,China)

机构地区:[1]陕西中医药大学,陕西咸阳712046 [2]陕西省中医医院,陕西西安710003

出  处:《辽宁中医药大学学报》2022年第1期101-105,共5页Journal of Liaoning University of Traditional Chinese Medicine

基  金:国家中医药管理局中医学术流派传承工作室第二轮建设项目(国中医人教函(2019)62号);陕西省重点研发计划(2018ZDCXLSF-01-01-02)。

摘  要:一切疾病发生、进展及预后等过程均有其特定的体质类型,它反映了疾病的易感程度,亦是决定疾病发生的关键要素。参照《中医体质分类与判定》对体质状况进行评价共分为9种体质,分别是平和质、阴虚质、气虚质、阳虚质、痰湿质、瘀血质、气郁质、湿热质及特禀质。通过对近期关于糖尿病前期与中医体质的相关性研究总结得出,以气虚质、阴虚质、痰湿质、湿热质这4种单一偏颇体质及气虚(脾气虚)兼痰湿质、痰湿兼湿热质这2种兼夹体质占比较大,其中较为突出的是气虚(脾气虚)兼痰湿质。该文通过对脾气虚兼痰湿质成因及特点分析,脾气虚兼痰湿质到脾气虚兼痰湿证转化,以及脾气虚兼痰湿质与糖尿病前期发生、发展的相关性研究,发现脾气虚兼痰湿质是糖尿病前期发病的重要因素,并提出生活方式干预、中西医药物治疗及随证治之等相关治法。对脾气虚兼痰湿质早期干预、辨证施治,为干预和治疗糖尿病前期及预防和治疗糖尿病前期向糖尿病转变提供新的方法和思路。The occurrence,progression and prognosis of all diseases have their specific physical types,which reflect the susceptibility of diseases and are also the key factors to determine the occurrence of diseases. According to the classification and determination of traditional Chinese medicine constitution,there are nine kinds of constitution,which are mild constitution,Yin deficiency constitution,Qi deficiency constitution,Yang deficiency constitution,phlegm dampness constitution,blood stasis constitution,Qi stagnation constitution,damp heat constitution and special constitution. Based on the recent research on the correlation between pre-diabetes and traditional Chinese medicine constitution,it is concluded that Qi deficiency constitution,Yin deficiency constitution,phlegm dampness constitution,damp heat constitution and Qi deficiency(spleen Qi deficiency)with phlegm dampness constitution,phlegm dampness with dampness heat constitution account for a large proportion,among which Qi deficiency(spleen Qi deficiency)with phlegm dampness constitution is the most prominent. Through the analysis of the causes and characteristics of spleen Qi deficiency and phlegm dampness constitution,the transformation from spleen Qi deficiency and phlegm dampness constitution to spleen Qi deficiency and phlegm dampness syndrome,and the correlation between spleen Qi deficiency and phlegm dampness constitution and the occurrence and development of pre-diabetes,this paper finds that spleen Qi deficiency and phlegm dampness constitution is an important factor in the pathogenesis of pre-diabetes,and puts forward some related treatment methods,such as life style intervention,traditional Chinese and Western medicine treatment and treatment with syndrome. The early intervention and syndrome differentiation of spleen Qi deficiency and phlegm dampness constitution can provide new methods and ideas for the intervention and treatment of pre-diabetes and the prevention and treatment of the transition from pre-diabetes to diabetes.

关 键 词:脾气虚兼痰湿体质 糖尿病前期 中西医疗法 

分 类 号:R587[医药卫生—内分泌]

 

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