基于“胃强脾弱”理论探讨代谢综合征的辨治思路  

Discussion on the Treatment of Metabolic Syndrome Based on theTheory of“Strong Stomach,Weak Spleen”

作　　者：刘晓东 崔鹏[2] Liu Xiaodong;Cui Peng(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;The Hospital Affiliated to Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《亚太传统医药》2024年第12期105-107,共3页Asia-Pacific Traditional Medicine

摘　　要：代谢综合征属于中医学“肥胖”“消渴”等范畴,发病与“胃强脾弱”密切相关。结合历代文献,“胃强脾弱”的病机重点在于胃热脾虚。胃火炽盛脾虚导致代谢综合征的腹型肥胖、多食易饥、大便稀溏等症状。选用具有辛开苦降功效的半夏泻心汤加减方可以达到泻胃健脾、调和脾胃的目的。Metabolic syndrome belongs to the categories of“obesity”and“thirst”in traditional Chinese medicine,and the onset of metabolic syndrome is closely related to“strong stomach and weak spleen”.Combined with the views of doctors in the literature of previous dynasties,the pathogenesis of“strong stomach and weak spleen”focuses on stomach heat and spleen deficiency.Stomach fire and spleen deficiency and cold lead to symptoms such as abdominal obesity,excessive food and hunger,and loose stools in metabolic syndrome.The addition and subtraction of Banxia Xiexin decoction with the effect of acrid openning and bitter descending can achieve the purpose of purging and strengthening the spleen and reconciling the spleen and stomach.

关 键 词：代谢综合征 胃强脾弱 泻胃补脾 辛开苦降 

分 类 号：R259[医药卫生—中西医结合]