痰湿型妊娠期糖尿病的中医研究进展与思考

Research Progress and Thinking of TCM on Phlegm-Dampness Type of Gestational Diabetes Mellitus

摘要: 妊娠期糖尿病是糖尿病的四大类型之一，不仅对患者本身的健康带来危害还会导致不良的妊娠结局，影响后代健康。根据中医的体质学说分类，大量妊娠期糖尿病患者属于痰湿体质。本文通过系统地梳理和分析大量的古代及现代文献，阐述了痰湿型妊娠期糖尿病的病因病机，并从饮食、运动、情志和其他疗法等方面提供了治疗方向。最后基于此文针对糖尿病的症状总结了该疾病的发生与人体内脏腑间的关系。以期为临床痰湿型妊娠期糖尿病病人的治疗提供指导。

Abstract: Gestational diabetes mellitus (GDM) is one of the four major types of diabetes mellitus. Not only it is harmful to the patient’s own health, but also leads to adverse pregnancy outcomes, and affects the health of their offspring. According to the constitution theory of traditional Chinese Medicine, a large number of patients with gestational diabetes belong to phlegm-dampness constitution. This paper expounds on the etiology factor and pathogenesis of phlegm-dampness type of GDM by systematically combing and analyzing a large number of ancient and modern literatures, and provides the treatment direction from the aspects of diet, exercise, emotion and other therapies. Finally, the occurrence of the disease and the relationship between the internal organs of the human body are summarized, based on the symptoms of diabetes. It is expected to provide guidance for clinical treatment for GDM patients of phlegm-dampness type.