“去宛陈莝”法治疗“脾虚湿郁证”2型糖尿病的理论探讨

Theoretical Exploration of the “Qu-Wan-Chen-Cuo” (Removing Stale Accumulation) Method in the Treatment of Type 2 Diabetes Mellitus with Spleen Deficiency and Dampness Stagnation Syndrome

摘要: 本文旨在探讨《黄帝内经》“去宛陈莝”理论在脾虚湿郁证２型糖尿病中的理论渊源与临床应用价值。通过梳理“去宛陈莝”的内涵，结合２型糖尿病“湿、瘀、毒”并存的病理特点，提出以健脾化湿、活血通络、清解浊毒为核心的综合治法。“去宛陈莝”法契合该证型“本虚标实、久病入络”的病机本质，可为中医药干预２型糖尿病及其并发症提供坚实的理论支撑与实践路径。

Abstract: This paper aims to explore the theoretical origins and clinical application value of the “Qu-Wan-Chen-Cuo” (Removing Stale Accumulation) theory from the “Huangdi Neijing” (“Yellow Emperor’s Inner Canon”) in the treatment of type 2 diabetes mellitus (T2DM) with Spleen Deficiency and Dampness Stagnation syndrome. By clarifying the connotations of “Qu-Wan-Chen-Cuo” and integrating the pathological characteristics of coexisting “dampness, blood stasis, and toxins” in T2DM, this study proposes a comprehensive treatment strategy centered on invigorating the spleen and resolving dampness, promoting blood circulation to unblock collaterals, and clearing and resolving turbid toxins. The “Qu-Wan-Chen-Cuo” method intrinsically aligns with the core pathogenesis of this syndrome—namely, “root deficiency with branch excess” and “prolonged illness penetrating the collaterals.” Consequently, it provides solid theoretical support and a practical pathway for Traditional Chinese Medicine (TCM) interventions in T2DM and its associated complications.