基于“六郁”理论探讨糖尿病认知障碍的中医证治  

Discussion ontraditional Chinese medicine treatment of diabetic congnitive dysfunction based on‘Six Stagnation’theory

作　　者：甘盼盼[1] 贺芹 郭明星 全毅红[1] GAN Panpan;HE Qin;GUO Mingxing(Department of traditional Chinese medicine,The central hospital of Wuhan,TongJi medical college,Huazhong University of Science and Technology,Wuhan 430014,China;Maternal and Child Health Hospital of Hubei Province,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430070,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院中医科,湖北武汉430014 [2]华中科技大学同济医学院附属湖北妇幼保健院,湖北武汉430070

出　　处：《四川中医》2025年第4期69-74,共6页Journal of Sichuan of Traditional Chinese Medicine

基　　金：武汉市卫生健康委员会面上项目(编号:WZ24A10);武汉市卫生健康委员会青年项目(编号:WZ21Q30);武汉市中心医院学科基金项目(编号:2021XK024)。

摘　　要：糖尿病认知功能障碍(DCD)作为糖尿病的常见并发症,近年来发病率不断上升,受到越来越多的关注和讨论。本文基于“六郁”理论阐释DCD的病理过程,提出DCD始于食郁,食滞伤气,萌生气郁,肝气不舒,郁极而发,上逆脑府以致神乱;气郁湿停,脾运失用,由生湿郁,脾不升清,水湿内盛而蒙蔽神窍;湿郁中焦,肺失肃降,湿聚化痰,乃有痰郁,痰扰脑府以致神病;痰湿积滞,血脉壅涩,心脉不通,遂致血郁,脑络瘀塞则神机失用;痰瘀胶结,终酿火郁,火灼肾精,脑髓空虚,呆病益盛。治疗上提倡消食郁以防病之始,疏气郁以遏病之源,利湿郁以防病之渐,化痰郁以制病之盛,行血郁以止病之化,泄火郁以逆病之衰。As a common complication of diabetes,the incidence rate of diabetic cognitive dysfunction(DCD)has been ris-ing in recent years,which has attracted more and more attention and discussion.This review explains the pathological process of DCD based on the theory of“Six Stagnation”,and proposes that DCD begins with food depression,which harms Qi,cute liver Qi depression,caused mental illness;Qi stagnation and dampness stop,then spleen function disorders,resulting in stagnation of raw dampness,inability to clear the spleen,and excessive internal water and dampness that can obscure the senses;damp stagnation in the middle burner,lung function imbalanced,accumulation of dampness and phlegm,resulting in phlegm stagnation,phlegm disturbing the brain and causing mental illness;stagnation of phlegm and dampness,obstruction of blood vessels,and blockage of heart and blood vessels can lead to blood stasis,and blockage of brain meridians can result in the loss of vital energy;phlegm and blood stasis are consolidated,eventually leading to stagnation of fire,burning of kidney essence by fire,causing brain marrow emptiness.In terms of treatment,it is advocated to eliminate food stagnation as the beginning of disease prevention,dispel Qi stagnation as the source of disease prevention,promote dampness stagnation as the gradual prevention of disease,eliminate phlegm stagnation as the peak of disease control,treat blood stagnation as the cessation of disease,and relieve fire stagnation as the reverse of disease decline.

关 键 词：六郁 糖尿病认知功能障碍 五脏 中医 

分 类 号：R229[医药卫生—中医基础理论]