论“益气健脾化湿”法在中老年2型糖尿病患者中的应用  

On the Application of the Method of “Benefiting Qi, Strengthening the Spleen and Eliminating Dampness” in Middle-Aged and Elderly Type 2 Diabetes Mellitus Patients

作　　者：齐新朋 龚光明[1] 

机构地区：[1]成都中医药大学附属医院内分泌科,四川 成都

出　　处：《中医学》2025年第1期456-461,共6页Traditional Chinese Medicine

摘　　要：目前,我国已逐渐步入高龄社会,2型糖尿病因其在中老年人群中的普遍性以及日渐攀升的患病比例,在医疗实践中,治疗此病须充分考虑到特定年龄段的生理和病理特点。根据中医学说,2型糖尿病与脾机能失调有紧密的联系,过往医籍在疗法上主张益气健脾和祛除体内湿邪。结合古今对2型糖尿病的成因剖析、中老年人体质研究,以及脾功能对胰岛的影响等多方面的考量,我们得出结论:“脾虚夹湿”是该年纪层次2型糖尿病形成的主要病因。因此,基于上述理论的“益气健脾化湿”治疗方案,应当成为针对此类病患的治疗常规。At present, China has gradually stepped into an ageing society, type 2 diabetes mellitus, because of its prevalence in the middle-aged and elderly population and the increasing proportion of the disease, in medical practice, the treatment of this disease must fully take into account the physiological and pathological characteristics of the specific age group. According to Chinese medicine, type 2 diabetes mellitus is closely related to spleen dysfunction, and past medical texts have advocated the use of qi to strengthen the spleen and remove dampness from the body. Taking into account the causes of type 2 diabetes mellitus in the past and the present, the study of the physique of the middle-aged and the elderly, as well as the influence of the spleen function on the pancreatic islets, we conclude that “spleen deficiency and dampness” is the main cause of type 2 diabetes mellitus at this age level. Therefore, based on the above theory, the treatment plan of “benefiting qi, strengthening the spleen, and eliminating dampness” should become the treatment routine for this type of patients.

关 键 词：益气健脾化湿 2型糖尿病 中老年人群 

分 类 号：R58[医药卫生—内分泌]