以通调带脉为主干预代谢综合征腹型肥胖的思路探讨

Exploration of the Idea of Unblocking and Regulating the Dai Meridian as Main Intervention in Abdominal Obesity Metabolic Syndrome

代谢综合征是以腹型肥胖作为诊断的核心因素以及必要条件,腹部脂肪包含了皮下脂肪与内脏脂肪两部分,二者都与高血压、空腹血糖受损、糖尿病、代谢综合征有着相关性,目前的研究多以内脏脂肪为对象,但皮下脂肪堆积也有着不可分割的关系。腹部脂肪细胞的理化改变导致了腹部脂肪层的增厚以及密度的增加,并在腹部脂肪细胞的理化改变过程中引起脂肪因子分泌的改变,两方面共同作用引起了诸多的代谢问题。三焦功能的异常导致痰热瘀浊聚集于腹部并渗入血脉是引起代谢综合征的基本病机,带脉功能的异常在这个过程中起到了关键作用,以通调带脉为核心,舒畅全身气机,尤其是中焦气机,促使三焦功能恢复正常,有助于代谢综合征的临床治疗。

Abdominal obesity is a core factor in and necessary condition of diagnosing metabolic syndrome.Abdominal fat eontains two parts： subcutaneous fat and visceral fat. Both are related to hypertension, impaired fasting blood glucose, diabetes and metabolic syndrome. Current studies often focus on visceral fat, but subcutaneous fat accumulation also has an inseparable relationship. Physical and chemical changes in abdominal fat cells result in abdominal fat thickening and density increase and cause changes in secretion of adipokines in this process. The common action of the two aspects leads to a number of metabolic problems. The sanjiao dysfunction brings about abdominal accumulation of phlegm, heat and stagnant turbidity and infiltration of them into blood vessels, which are the basic pathogenesis of metabolic syndrome. Abnormal Dai Meridian function plays a key role in this process. Unblocking and regulating the Dai Meridian as a core means, promoting functional activities of qi in the whole body and especially in the middle jiao and restoring the sanjiao function help the clinical treatment of metabolic syndrome.