从“脾胰同源”论血糖波动的中医辨治思路

Discussion Based on Theory of Homogeny of Pi and Yi of Decreasing Glucose Fluctuation of Diabetes by TCM Syndrome Differentiation and Treatment

2型糖尿病以波动性高血糖为特点,促进糖尿病慢性并发症发生发展。目前,临床实践中,减少血糖波动是血糖控制的重点,更是血糖控制的难点。中医学关于"脾"的概念是一系统功能的概括,从解剖、生理、病理学方面分析,包括了现代医学所指的"胰"的功能,即"脾胰相关"或"脾胰同源"。作者认为,根据"脾胰同源"理论与脾虚致渴的理论基础,"从脾论治"糖尿病作为中医药减少血糖波动、防治糖尿病及其并发症的有效途径。

Glucose fluctuation is the characteristics of the T2 DM,which promoting the development of diabetic chronic complications. At present,reducing glucose fluctuation is the key and difficulty of the glucose control. The concept of＂Pi＂of TCM is a generalization of system functions. From the analysis of anatomy,physiology and pathology,＂Pi＂including＂Yi＂,refers to＂Correlation of Pi and Yi＂or＂homogeny of Pi and Yi＂. According to the theory of＂homogeny of Pi and Yi＂and Pi deficiency leading to thirst,reducing glucose fluctuation by the theory of ＂syndrome differentiation and treatment by Pi＂is the effective way of prevention and treatment of diabetes and its complications.