络病理论指导从脾论治2型糖尿病病机探讨  

Discussion on the pathogenesis of type 2 diabetes mellitus from the spleen theory guided by the theory of disease complex

作　　者：张少兰 马坤(综述) 常丽萍 魏聪(审校) Zhang Shaolan;Ma Kun;Chang Liping;Wei Cong(National Key Laboratory of Innovative Translation of Luobing Theory,Hebei Province,Shijiazhuang 050035,China;不详)

机构地区：[1]络病理论创新转化全国重点实验室,石家庄050035 [2]国家中医药管理局重点研究室(心脑血管络病) [3]国家中医药管理局高水平中医药重点学科中医络病学

出　　处：《疑难病杂志》2024年第3期371-374,共4页Chinese Journal of Difficult and Complicated Cases

基　　金：国家重点研发计划“中医药现代化研究”重点专项资助项目(2017YFC1700500);石家庄市科技计划项目(236200247A);石家庄市技术创新中心绩效后补助项目(237790639A)。

摘　　要：既往以中医络病理论为指导提出从“脾”论治2型糖尿病(消渴症),随着近年络病学科形成气络学说和脉络学说两大分支方向研究,并在心血管疾病、脑血管疾病和糖尿病等多种临床重大疾病防治中的研究不断深入,文章从气络学说核心理论“承制调平”出发,探讨“形气转化—气血津液精—物质能量代谢”异常与该病的关系;从脉络学说切入,探讨脉络末端的孙络与胰岛微血管之间关系及其在糖尿病并发症中的影响,据此提出2型糖尿病“运脾津,通脾络”的治疗原则,以期为中医原创理论指导2型糖尿病研究开拓新的思路。In the past,the Luobing theory of Chinese medicine has been proposed to treat type 2 diabetes mellitus(xerostomia)from the theory of"spleen"under the guidance of the theory of Chinese medicine,and with the formation of two major branches of research in the discipline of Qiluo Theory and vein and network theory,and the research has been deepened in the prevention and treatment of many major clinical diseases,such as cardiovascular diseases,cerebrovascular diseases and diabetes mellitus,the article starts from the core theory of Qiluo Theory,"bearing control and regulating leveling",and discusses the"Qiluo Theory".With the formation of two branches of research in the discipline of qiluo theory and pulse theory in recent years,and the deepening of research in the prevention and treatment of various major clinical diseases such as cardiovascular diseases,cerebrovascular diseases and diabetes mellitus,the article discusses the abnormalities of"form and qi transformations-qi,blood,fluid,essence and substance-energy metabolism"from the core theory of Qiluo Theory,which is the basis for the treatment of type 2 diabetes.The article starts from the core theory of qi and collaterals theory,"Cheng,Zhi and Ping",and explores the relationship between"transformation of form and qi-qi,blood,fluid,essence and energy metabolism"and the disease;from the theory of collaterals and veins theory,it explores the relationship between the end of the collaterals of Sun and the microvessels of pancreatic islets as well as its influence on the diabetes mellitus,and thus puts forward the therapeutic principle of"transporting the spleen and the fluid and opening the collaterals and veins and veins of the spleen"for the treatment of Type 2 diabetes.Accordingly,we propose the treatment principle of"transporting spleen and fluids and clearing spleen and collaterals"for type 2 diabetes mellitus,in order to open up new ideas for the research of type 2 diabetes mellitus in Chinese medicine.

关 键 词：2型糖尿病 从脾论治 络病理论 气络学说 脉络学说 

分 类 号：R587.1[医药卫生—内分泌] R255.4[医药卫生—内科学]