2型糖尿病从“肝脾论治”的思路探讨

Exploration of the Therapeutic Approach for Type 2 Diabetes Mellitus Based on the “Liver and Spleen Theory”

摘要: 在2型糖尿病(Type 2 diabetes mellitus, T2DM)传统的辨证施治体系中，三消辨证法最为详尽，其核心多围绕阴虚燥热之病机，归咎于肺、胃、肾三脏的功能失调。然而，仅依据“三消”理论进行论治已难以满足当前临床治疗的实际需求，鉴于此，众多医家勇于突破传统“三消”框架，当融合脏腑定位与气血阴阳的精细辨证，以分型施治。本文深入探讨了肝脾两脏与T2DM发病机制的内在联系，为基于“肝脾”理论治疗T2DM奠定了坚实的理论基础。

Abstract: In the traditional system of diagnosis and treatment of thirst-quenching disease, the three elimination method is the most detailed, the core of which is centered around the disease mechanism of Yin deficiency and dryness and heat, attributed to the dysfunction of the lungs, stomach and kidneys. However, it is difficult to meet the actual needs of current clinical treatment only based on the theory of “three eliminations”. In view of this, many medical practitioners have the courage to break through the traditional framework of “three eliminations” when integrating the positioning of internal organs and the fine identification of qi, blood, yin and yang, in order to differentiate and administer the treatment. In this paper, the intrinsic connection between the liver and spleen and the pathogenesis of type 2 diabetes mellitus (T2DM) is discussed in depth, which lays a solid theoretical foundation for the treatment of type 2 diabetes mellitus based on the theory of liver and spleen.