从卫气探索血糖与糖尿病病机

Analysis on Blood Sugar and Pathogenesis of Diabetes Mellitus from the Aspect of Defense Qi

依据卫气理论分析血糖异常的临床表现,认为血糖与卫气来源、生成、功能吻合。血糖高则表现为火热之象,甚则闭窍;血糖低则虚而生寒,竭则厥脱而亡。血糖所产生的生理效用与卫气功能最为贴合,低血糖、高血糖之临床表现则与卫气温煦、气化、固摄功能失常一致。血糖源于水谷,与卫气相当,属阳,性热,据此提出血糖属于气的观点。其次,论述了从各种危险因素作用于人体,到超重、肥胖乃至糖尿病的发生,卫气失常存在其始终。第三,在论述卫气失常与肥胖病机密切相关的基础上,进一步提出并论证卫气失常与糖尿病发病相关的机制。糖尿病始于卫气失常,多食少动,卫气过多,气盛有余,化为膏脂,导致超重、肥胖,终则发生糖尿病。

Based on the theory of defense qi,the clinical manifestations of abnormal blood sugar were analyzed and believed that the blood sugar coincides with the source,production and function of defense qi. High blood sugar results in fire and heat signs,even causing the orifice＇s blockage. Low blood sugar results in deficiency generating cold,exhausting of blood sugar causing lassitude and death. The physiological functions of blood sugar are similar with the functions of defense qi. The clinical manifestations of low blood sugar and high blood sugar are consistent with dysfunctions of defense qi in warming,qi transformation and consolidation. The blood sugar originates from water and food,pertaining to yang,heat in nature and similar to the defense qi. So the viewpoint of blood sugar pertaining to qi was put forward. Then,the dysfunction of defense qi exists throughout from various dangerous factors acting on human body to the occurrence of overweight,obesity and diabetes mellitus. Third,the dysfunction of defense qi related to the pathogenesis of diabetes mellitus was proposed and proved on the base that the dysfunction of defense qi has close relationship with the pathogenesis of obesity. Diabetes mellitus originates from dysfunction of defense qi. Eating more,moving less and excessive defense qi caused excess of qi which was transformed into fat and oil resulting in overweight and obesity,finally causing diabetes mellitus.