基于“气机升降”理论探析2型糖尿病的病机证治
Exploring the Disease Mechanism and Treatment of Type 2 Diabetes Based on Ascending and Descending of Qi Movement
DOI: 10.12677/tcm.2024.1310401, PDF,   
作者: 晋启航:黑龙江省中医药科学院研究生院,黑龙江 哈尔滨;蔡萧君:黑龙江省中医医院内分泌科,黑龙江 哈尔滨
关键词: 气机升降2型糖尿病理论探讨Ascending and Descending of Qi Movement Type 2 Diabetes Theoretical Discussion
摘要: “气机升降”理论是中医学基本理论中重要的组成部分。由于气与人体的代谢有着密切的联系,而2型糖尿病正是以代谢紊乱为特点的疾病,气在其发病过程中起到关键作用。本文阐释了气机升降理论的渊源,概述了中医学对2型糖尿病的认识,同时对气机升降与脏腑之间的关系也作了系统阐释,由于气机升降体现了脏腑的生理特性,故而从肝肺、脾胃、心肾气机方面具体论述了气机升降失调是2型糖尿病发生发展的基本病理环节。此外,基于气机升降理论还探讨了2型糖尿病的治法,以及调和气机升降的临证经验,以期为临床提供参考。
Abstract: The theory of “Ascending and Descending of Qi Movement” is an important part of the basic theory of traditional Chinese medicine. Because qi is closely related to the metabolism of human body, and type 2 diabetes is a disease characterized by metabolic disorder, Qi plays a key role in its pathogenesis. This paper expounds the origin of the theory of qi-machine ascending and descending, summarizes the understanding of type 2 diabetes in traditional Chinese medicine, and expounds systematically the relationship between qi-machine ascending and descending and Zang-fu organs. Since the ascending and descending of Qi mechanism embodies the physiological characteristics of Zang-fu organs, it is discussed concretely that the disorder of ascending and descending of Qi mechanism is the basic pathological link in the occurrence and development of type 2 diabetes mellitus from the aspects of liver, lung, spleen and stomach, heart and kidney qi mechanism. In addition, based on the theory of rising and falling of Qi, we also discussed the treatment of type 2 diabetes and the clinical experience of regulating the rising and falling of Qi, to provide reference for the clinic.
文章引用:晋启航, 蔡萧君. 基于“气机升降”理论探析2型糖尿病的病机证治[J]. 中医学, 2024, 13(10): 2690-2695. https://doi.org/10.12677/tcm.2024.1310401

参考文献

[1] 李光伟. 胰岛素抵抗和β细胞功能不良在2型糖尿病发病上的作用[J]. 中华内分泌代谢杂志, 2002, 18(3): 88-89.
[2] 李洪皎, 仝小林, 吴洁, 等. 肥胖2型糖尿病前期、早期病机证治探讨[J]. 中国中医基础医学杂志, 2007, 13(7): 529-530.
[3] 吴以岭, 魏聪, 赵珊珊. 气与气络学说探讨[J]. 中医杂志, 2017, 58(21): 1801-1807.
[4] 纪立农, 陆菊明, 朱大龙, 等. 成人2型糖尿病基础胰岛素临床应用中国专家指导建议[J]. 中国糖尿病杂志, 2017, 25(1): 2-9.
[5] 郭建辉. 从气机升降异常论治2型糖尿病[J]. 中国中医药信息杂志, 2012, 19(4): 91+98.
[6] 郭伦聪, 赵能江, 吴秋英, 等. 从疏泄气机论治糖尿病[J]. 国医论坛, 2022, 37(4): 21-22.
[7] 陈筱云. 陈家礼老中医学术思想与临床经验总结[D]: [博士学位论文]. 北京: 北京中医药大学, 2012.
[8] 刘瑞, 花宝金, 侯炜. 从气机升降学说论肿瘤病机[J]. 中医杂志, 2014, 55(7): 544-547.
[9] 赵娜, 马建. 肥胖2型糖尿病的发病机制初探[J]. 医学与哲学(B), 2012, 33(11): 40-42.
[10] 于洪宇, 赵娜, 马建, 等. 浅议代谢调节与气的内在联系[J]. 浙江中医药大学学报, 2014, 38(12): 1382-1384.
[11] 南宗辰, 石岩, 杨宇峰. 叶天士在消渴证的辨证与治疗方面的继承与创新[J]. 辽宁中医杂志, 2014, 41(10): 2102-2103.
[12] 李吉武. 调和元气升降法治疗2型糖尿病的理论探讨和临床研究[D]: [博士学位论文]. 广州: 广州中医药大学, 2011.
[13] 刘立昌, 桑树贤. 桑景武运用真武汤治疗消渴病的经验[J]. 吉林中医药, 1991(3): 11.
[14] 王楚翘, 刘阳, 吕嘉欣, 孙龙宇. 基于“一气周流”理论探析消渴合并血脂异常[J]. 实用中医内科杂志, 2024, 38(2): 134-137.