基于“痿病治宜导引”的导引适应症的现代思考  

Modern Thinking on the Indications of Daoyin(导引)based on the Theory of"Wei(痿)Diseases should be Treated by Daoyin"

作　　者：余艳 陈雪吟 杨丽虹[2] 刘少南[2] 陈裕[2] 刘理想[3] 岳萍 吴金鹏[5] 郭新峰[2] YU Yan;CHEN Xueyin;YANG Lihong;LIU Shaonan;CHEN Yu;LIU Lixiang;YUE Ping;WU Jinpeng;Guo Xinfeng(Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou,510405;Guangdong Provincial Hospital of Chinese Medicine;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences;Tianjin University of Traditional Chinese Medicine;Institute of Biomedical Engineering,Chinese Academy of Medical Sciences)

机构地区：[1]广州中医药大学第二临床医学院,广东省广州市510405 [2]广东省中医院 [3]中国中医科学院中医基础理论研究所 [4]天津中医药大学 [5]中国医学科学院生物医学工程研究所

出　　处：《中医杂志》2024年第11期1170-1173,共4页Journal of Traditional Chinese Medicine

基　　金：省部共建中医湿证国家重点实验室专项(SZ2021ZZ08);国家重点研发计划(2018YFC1707803)。

摘　　要：《素问·异法方宜论篇》提出导引适应症“痿病治宜导引”,并明确导引适应症是指湿、食杂、不劳等导致的与脾和湿相关,以肢体困重、倦怠乏力为主症的病症,类似于现代医学糖脂代谢病早期代谢失衡状态。现代临床和基础研究证据表明,导引可以通过抑制炎症反应、缓解氧化应激、调节肠道菌群、调控基因表达,进而改善代谢异常状态,为导引适应症的研究提供思路。It has been proposed by Basic Questions On Proper Therapies for Different Diseases Geographically(《素问·异法方宜论篇》)that"wei(痿)diseases should be treated by Daoyin(导引)".Furthermore,it is clarified that the indications of Daoyin are those conditions related to spleen and dampness caused by dampness pathogen,excessive food intake and less exercise,and mainly manifested as heavy limbs,fatigue and flaccidity,which is similar to the metabolic imbalance in the early stage of glucose or lipid metabolism disorder in modern medicine.Based on modern clinical and basic research evidence,Daoyin can inhibit the response of inflammation,alleviate oxidative stress,regulate intestinal microbiota,and modulate gene expression to improve metabolic abnormalities,and this will provide ideas for researches on the indications of Daoyin.

关 键 词：导引 痿 糖代谢 脂代谢 

分 类 号：R247.4[医药卫生—中医临床基础]