清肝健脾法在2型糖尿病中的应用探讨  

Application of the method of clearing the liver and tonifying the spleen in type 2 diabetes

作　　者：荣小龙 李步满 冯兴中 RONG Xiaolong;LI Buman;FENG Xingzhong(Department of Endocrine Immunology,Yuquan Hospital,Tsinghua University,Beijing 100049)

机构地区：[1]清华大学玉泉医院内分泌科,北京100049

出　　处：《现代中医临床》2024年第2期73-77,共5页Modern Chinese Clinical Medicine

基　　金：北京市中医药科技发展资金项目(No.BJZYQN-2023-16);北京中医药“薪火传承3+3工程”室站分站建设项目。

摘　　要：2型糖尿病是目前常见的代谢性疾病,发病率逐年上升,中医辨治糖尿病常从上、中、下三消论治,多以阴虚燥热为纲,然其并不完全符合临床,根据历代文献对糖尿病的论述及肝脾的病理生理特点,认为肝脾两脏在糖尿病发病过程中的起着重要作用。肝热脾虚为重要病机,表现为肝郁化热伤津、脾胃积热化燥、肝脾互为影响。临床可应用清肝健脾法治疗2型糖尿病,并通过临床验案进行介绍。Type 2 diabetes,a prevalent metabolic disorder,exhibits an escalating incidence rate.Traditional Chinese medicine often addresses diabetes through the lens of shangxiao,zhongxiao,and xiaxiao(upper,middle,and lower consumptive thirst,respectively)predominantly focusing on yin deficiency and heat dryness.However,this perspective does not fully align with clinical observations.Drawing insights from historical texts discussing diabetes and the pathophysiological characteristics of the liver and spleen,it is posited that these two organs play pivotal roles in the onset of diabetes.The crucial pathological mechanism involves liver heat and spleen deficiency,manifested as liver constraint transforming into heat,injuring bodily fluids,the spleen and stomach accumulating heat,which transforms into dryness,and a mutual influence between the liver and spleen.The method of clearing the liver and tonifying the spleen can be used to treat type 2 diabetes,and its effectiveness is demonstrated here through clinical cases.

关 键 词：2型糖尿病 肝热脾虚证 清肝健脾法 

分 类 号：R255.4[医药卫生—中医内科学]