于国泳基于五运六气理论针药并用治疗2型糖尿病经验  

Experience of YU Guoyong in Treating Type 2 Diabetes Mellitus with Acupuncture and Medicine Based on the Theory of“Five Evolutive Phases and Six Climatic Factors”

作　　者：黄韬 于国泳 HUANG Tao;YU Guoyong(The First Clinical Medical School of Beijing Univer-sity of Chinese Medicine,Beijing(100700),China;Dongzhimen Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学第一临床医学院,北京100700 [2]北京中医药大学东直门医院

出　　处：《浙江中医药大学学报》2025年第3期316-321,共6页Journal of Zhejiang Chinese Medical University

基　　金：第四批全国中医(西学中)优秀人才研修项目(国中医药人教发〔2019〕13号);北京中医药大学东直门医院2023科技创新专项(DZMKJCX-2023-012)。

摘　　要：[目的]总结于国泳主任医师运用运气方联合六气针法治疗2型糖尿病的临床经验。[方法]通过随师临证,总结整理病案资料,阐释运用运气方联合六气针法治疗2型糖尿病的经验,并通过临床验案加以佐证。[结果]2型糖尿病因先天禀赋不足,脏腑虚损以及后天环境作用相引而发,气化失司、亢则为害是发病病机,疾病的发生发展及转归受先天禀赋和运气变化的影响。于师在“天-人-病”辨证体系下,抓住偏颇体质之“本”,兼顾疾病之症,根据五脏生克制化关系运用运气方联合六气针法治疗。文中所举医案患者因2型糖尿病加重前来就诊,首诊于师根据患者先天禀赋以及发病时的运气特点,结合病症,辨为消渴脾虚肝旺证,治以健脾利湿、疏肝行气,予白术厚朴汤合静顺汤加减,后期兼活血祛瘀,随症加减,另配合六气针法调理,疗效良好。[结论]于国泳主任医师从运气变化、体质禀赋、脏腑虚实认识2型糖尿病,运用运气方联合六气针法治疗,有司天辨体、专病专论的特色,临床验之有效。[ObjectiveObjective]To summarize Chief Physician YU Guoyong’s clinical experience in treating type-2 diabetes mellitus(T2DM)by using the Yunqi Decoction combined with the six climate acupuncture method.[MethodsMethods]The experience of treating T2DM by using the Yunqi Decoction combined with the six climate acupuncture method is explained through clinical summarization and collation of case data,and is supported by clinical test cases.[ResultsResults]T2DM is caused by the lack of innate endowment,the deficiency of Zangfu and the environmental effects of the acquired,its pathogenesis is the failure of Qi transformation and harm from hyperactivity,the development of the disease and the regression of the disease are affected by the innate endowment and changes of five evolutive phases and six climatic factors.Chief YU seizes the essence of biased constitution and takes into account the symptoms of the disease by using the traditional Chinese medicine syndrome differentiation system of“nature factor-human body-disease”.The Yunqi Decoction combined with the six climate acupuncture method is based on the theory of“Five Evolutive Phases and Six Climatic Factors”.In the case cited,the patient sought medical advice because of the aggravation of T2DM.During the first consultation,Chief YU diagnosed the patient as having spleen deficiency and liver hyperfunction based on the patient’s innate endowment and the characteristics of five evolutive phases and six climatic factors at the onset of the disease,as well as the symptoms of the disease,so the treatment was to strengthen the spleen and dispel dampness,soothe the liver and promote circulation,and was given Baizhu Houpo Decoction and Jingshun Decoction,then activated blood circulation,eliminated blood stasis and paid attention to the deficiency in the later stage,and was also adjusted with the six climate acupuncture methods.[ConclusionConclusion]Chief YU recognizes T2DM from the changes of five evolutive phases and six climatic factors,physical endowment and d

关 键 词：2型糖尿病 消渴 五运六气 三因司天方 六气针法 针药结合 名医经验 于国泳 

分 类 号：R245.9[医药卫生—针灸推拿学]