陈朝明教授“通督导气”针刺法治疗2型糖尿病经验总结
Summary of Professor Chen Chaoming’s Experience in Treating Type 2 Diabetes with the “Tongdu Daoqi” Acupuncture Method
摘要: 目前我国是2型糖尿病发病的主要国家，而2型糖尿病仍以西医的使用改善胰岛素抵抗和降血糖的药物为首要治疗手段。改善胰岛素抵抗的药物主要有非甾体类抗炎药(NSAIDs)、ACEI/ARB类药物、他汀类药物等。降血糖药物主要包括胰岛素、促胰岛素分泌剂、双胍类药物等。然而不少患者对此类药物的耐药性、治疗后出现的肝肾、胃肠功能等不良反应也逐渐成为目前急需解决的难题。现陈朝明教授从“通督导气”针刺法论治2型糖尿病，常用通督针刺、温针灸、经络整脊等方法治疗2型糖尿病，疗效突出，受到患者朋友的广泛认可，现将其治疗2型糖尿病的经验总结如下。
Abstract: At present, our country is the leading country in the incidence of type 2 diabetes. Type 2 diabetes is still the primary treatment method of Western medicine to improve insulin resistance and lower blood sugar. Drugs that improve insulin resistance mainly include non-steroidal anti-inflammatory drugs (NSAIDs), ACEI/ARB drugs, statins, etc. Hypoglycemic drugs mainly include insulin, insulin secretagogues, biguanides, etc. However, the resistance of many patients to such drugs, adverse reactions such as liver, kidney, and gastrointestinal function after treatment have gradually become urgent problems that need to be solved. At present, Professor Chen Chaoming discusses the treatment of type 2 diabetes from the “Tongdu Daoqi” acupuncture method, commonly used Tongdu acupuncture, warm acupuncture, meridian chiropractic and other methods to treat type 2 diabetes, the curative effect is outstanding, and has been widely recognized by patients and friends. Now the paper summarizes its experience in treating type 2 diabetes as follows.
文章引用：孙继业, 顾茜彦, 陈贵生, 孙梓之, 黄杰, 陈朝明. 陈朝明教授“通督导气”针刺法治疗2型糖尿病经验总结[J]. 临床医学进展, 2026, 16(1): 919-926. https://doi.org/10.12677/acm.2026.161121

参考文献

[1] Cipolletta, E., Gambardella, J., Fiordelisi, A., Del Giudice, C., Di Vaia, E., Ciccarelli, M., et al. (2019) Antidiabetic and Cardioprotective Effects of Pharmacological Inhibition of GRK2 in db/db Mice. International Journal of Molecular Sciences, 20, Article 1492. [Google Scholar] [CrossRef] [PubMed]
[2] 葛均波, 徐永健. 内科学[M]. 第8版. 北京: 人民卫生出版社, 2015: 733.
[3] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版) [J]. 中华糖尿病杂志, 2021, 13(4): 315-409.
[4] Li, Y., Teng, D., Shi, X., Qin, G., Qin, Y., Quan, H., et al. (2020) Prevalence of Diabetes Recorded in Mainland China Using 2018 Diagnostic Criteria from the American Diabetes Association: National Cross Sectional Study. British Medical Journal, 2020, m997. [Google Scholar] [CrossRef] [PubMed]
[5] 王新月. 中医内科学[M]. 第9版. 北京: 中国中医药出版社, 2020.
[6] 王逗逗, 赵进喜. 《医方类聚·消渴门》中治疗消渴病的用药规律研究[J]. 环球中医药, 2020, 13(3): 378-383.
[7] 张文艳, 陈朝明. 陈朝明教授通督导气法治疗胃食管反流病经验[J]. 针灸临床杂志, 2018, 34(10): 59-62.
[8] (明)杨继州. 针灸大成[M]. 第2版. 北京: 人民卫生出版社, 1994: 138.
[9] 林明欣, 朱章志, 樊毓运, 等. 朱章志教授论治消渴病之“温阳三法”浅探[J]. 中华中医药杂志, 2012, 27(6): 1598-1601.
[10] 周之干. 周慎斋医学全书[M]. 海口: 海南出版社, 2010.
[11] 闫镛, 卢昭, 王银姗. 连术消渴方对2型糖尿病(湿瘀互结证)糖脂代谢的影响[J]. 河南大学学报: 医学版, 2021, 40(3): 203-205.
[12] 周雨桐, 张心爱, 陈瑶, 等. 基于“阳化气、阴成形”理论探析国医大师刘志明从“阳虚血瘀”辨治病窦学术特色[J]. 环球中医药, 2023, 16(2): 266-269.
[13] Pop-Busui, R., Boulton, A.J.M., Feldman, E.L., Bril, V., Freeman, R., Malik, R.A., et al. (2016) Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care, 40, 136-154. [Google Scholar] [CrossRef] [PubMed]
[14] 刘忠义, 张文芳. 艾灸联合甲钴胺治疗糖尿病周围神经病变临床疗效分析[J]. 糖尿病新世界, 2017, 20(14): 173-174.
[15] 张侬. 《灸经图》之“聂俞” [J]. 中华医史杂志, 1997, 27(2): 67.
[16] 董卫. 胃脘下俞穴埋线治疗糖尿病62例[J]. 上海针灸杂志, 2002, 21(3): 3-5.
[17] 谌剑飞, 魏稼. 针刺治疗糖尿病的初步研究[J]. 中国针灸, 1983, 3(1): 1-4.
[18] 杨甲三. 针灸俞穴学[M]. 上海: 上海科学技术出版社, 1985: 505.
[19] 王启才, 高俊雄. 经络的研究及临床应用[M]. 北京: 中医古籍出版社, 1998.
[20] 邓小玲, 石立力. 肠道菌群与益生菌和2型糖尿病关系的研究进展[J]. 国际老年医学杂志, 2024, 45(6): 641-647.
[21] Lin, Y., Zeng, H., Lin, J., Peng, Y., Que, X., Wang, L., et al. (2024) Evaluating the Therapeutic Potential of Moxibustion on Polycystic Ovary Syndrome: A Rat Model Study on Gut Microbiota and Metabolite Interaction. Frontiers in Cellular and Infection Microbiology, 14, Article 1328741. [Google Scholar] [CrossRef] [PubMed]
[22] Yu, M.G., Gordin, D., Fu, J., Park, K., Li, Q. and King, G.L. (2023) Protective Factors and the Pathogenesis of Complications in Diabetes. Endocrine Reviews, 45, 227-252. [Google Scholar] [CrossRef] [PubMed]
[23] Pan, T., Li, X., Guo, X., Wang, H., Zhou, X., Shang, R., et al. (2023) Electroacupuncture Improves Insulin Resistance in Type 2 Diabetes Mice by Regulating Intestinal Flora and Bile Acid. Diabetes, Metabolic Syndrome and Obesity, 16, 4025-4042. [Google Scholar] [CrossRef] [PubMed]
[24] 宋永伟, 韦贵康. 国医大师韦贵康手法治疗脊柱源性血糖异常的经验总结[J]. 中华中医药杂志, 2021, 36(1): 192-194.
[25] 周卫惠, 韦理. 国医大师韦贵康教授补肾通督理论防治糖尿病临证析要[J]. 中国中医药现代远程教育, 2020, 48(4): 42-41.
[26] Natelson, D.M., Lai, A., Krishnamoorthy, D., Hoy, R.C., Iatridis, J.C. and Illien-Jünger, S. (2020) Leptin Signaling and the Intervertebral Disc: Sex Dependent Effects of Leptin Receptor Deficiency and Western Diet on the Spine in a Type 2 Diabetes Mouse Model. PLOS ONE, 15, e0227527. [Google Scholar] [CrossRef] [PubMed]
[27] 王雪, 刘津铭, 邵旭燕, 等. 正脊治疗脊源性内科疾病作用机制的研究概况[J]. 按摩与康复医学, 2022, 13(1): 62-64.
[28] 韩杰, 任国武, 徐志为, 等. 韦贵康教授诊治胸椎小关节紊乱的临证经验总结[J]. 广西中医药, 2021, 44(4): 44-46.

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