从湿邪论治糖尿病前期  

Treating Prediabetes from Pathogenic Dampness Theory

作　　者：于雪 吴海 李秀铭[2] 魏华[2,3] YU Xue;WU Hai;LI Xiuming;WEI Hua(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China;Department of Endocrinology,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China;State Key Laboratory of Dampness Syndrome of Chinese Medicine,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510120 [2]广东省中医院总院内分泌科,广东广州510120 [3]广州中医药大学第二附属医院省部共建中医湿证国家重点实验室,广东广州510120

出　　处：《新中医》2024年第20期211-215,共5页New Chinese Medicine

基　　金：省部共建中医湿证国家重点实验室项目(SZ2021ZZ31,SZ2021ZZ3203);广东省中医院路志正名医工作室项目(E43710)。

摘　　要：糖尿病前期处于糖调节受损的初期阶段,其起病隐匿,病情缠绵,符合中医湿邪的致病特征。中医湿邪致病理论认为糖尿病前期的病机以脾失健运为本,湿邪内羁为标,湿邪日久,瘀血内生。临床以益气健脾治其本,运化水湿治其标,通过多种方式除湿,治疗过程中注意兼顾五脏,辅以活血之品祛瘀。Prediabetes is in the early stage of impaired glucose regulation,with hidden onset and lingering course,which accords with the characteristics of pathogenic dampness in traditional Chinese medicine.According to the theory of pathogenic dampness in traditional Chinese medicine,the pathogenesis of prediabetes is the failure of the spleen to transport as the root,and the internal accumulation of pathogenic dampness as the branch,and lingering pathogenic dampness leads to the generation of static blood.Clinically,it is necessary to treat the root by boosting qi and fortifying the spleen,and treat the branch by transporting and transforming water-dampness;through various ways,the dampness is eliminated,and during the treatment,attention is paid to five zang-organs,supplemented by blood-invigorating medicine to dispel stasis.

关 键 词：糖尿病前期 湿邪 脾失健运 湿邪内羁 益气健脾 运化水湿 

分 类 号：R587.1[医药卫生—内分泌]