从“虚气留滞”理论探究肥胖2型糖尿病病机演变及证治规律  

Exploraion of the Pathogenesis Evolution and Treatment Rules of Obese Type 2 Diabetes Mellitus Based on the Theory of“Deficient Qi Leads to Stagnation”

作　　者：王琪格 丁思元 战丽彬[1,2,3] WANG Qige;DING Siyuan;ZHAN Libin(Key Laboratory of Ministry of Education for TCM Viscera-State Theory and Applications,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Liaoning Key Laboratory of Modern Research on Spleen Visceral Manifestations Theory,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Centre for Innovative Engineering Technology in Traditional Chinese Medicine,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;College of Traditional Chinese Medicine,Liaoning University of Chinese Medicine,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学中医脏象理论及应用教育部重点实验室,沈阳110847 [2]辽宁省中医脾脏象现代研究重点实验室,沈阳110847 [3]辽宁中医药大学中医药创新工程技术中心,沈阳110847 [4]辽宁中医药大学中医学院,沈阳110847

出　　处：《世界科学技术-中医药现代化》2024年第8期2089-2094,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)(国中医药人教函[2022]6号),负责人:战丽彬;全国博士后管委会办公室中国博士后科学基金会C档(GZC20231026):基于“虚气留滞”理论探究二陈汤对肥胖2型糖尿病合并非酒精性脂肪肝的保护作用及生物学机制,负责人:王琪格;辽宁中医药大学“中医脏象理论及应用教育部重点实验室”一般项目(zyzx2304):从“虚气留滞”理论探讨二陈汤对肥胖2型糖尿病合并非酒精性脂肪肝病肝脏过氧化物酶体脂肪酸代谢的影响,负责人:王琪格。

摘　　要：本文基于“虚气留滞”理论,对肥胖2型糖尿病病机演变及治法进行探讨。肥胖2型糖尿病的发生发展具有明显的阶段性,往往始于脾虚肥胖,发于气满脾瘅,成于燥留消渴,败于毒滞变证。按照病机的阶段发展特点可概括为“虚-气-留-滞”,符合“虚气留滞”以虚致实的整体理论内涵。在此基础上,针对本病不同时期总结出“温药和之”“以兰治之”“益阴养之”“攻补施之”的治法,为指导临床肥胖2型糖尿病精准辨证及治疗提供参考。Based on the theory of"deficient Qi leads to stagnation",this paper discusses the pathogenesis evolution and treatment of obese type 2 diabetes.The occurrence and development of obese type 2 diabetes mellitus has obvious stages,which often begins with spleen deficiency obesity,changes in qi full spleen dan,becomes dry retention diabetes,and appears toxic stagnation syndrome.According to the stage development characteristics of the pathogenesis,it can be summarized as"deficiency","Qi","retention"and"stagnation",which is in line with the overall theoretical connotation of"deficient Qi leads to stagnation".On this basis,according to the different periods of the disease,the treatment methods of"warm medicine treatment","orchid grass treatment","Yiyin treatment"and"Gongbu treatment"were summarized,which provided reference for guiding the accurate syndrome differentiation and treatment of obese type 2 diabetes in clinical practice.

关 键 词：虚气留滞 肥胖 2型糖尿病 病机演变 证治规律 

分 类 号：R587.1[医药卫生—内分泌]