从“虚气留滞”论初发型2型糖尿病的病因病机

Discussion on the etiology and pathogenesis of newly onset type 2 diabetes from“deficient-qi stagnation”theory

初发型2型糖尿病属于中医“消渴”范畴,其病因病机复杂多变,且无典型的临床表现,增加了认知的困难性.本文结合“虚气留滞”理论,对其病因病机特征进行分析,认为情志内伤、饮食不节及禀赋不足是其发病条件;诸气不足、脏腑亏虚是其发病基础;气滞、血瘀、痰浊、毒聚等病理产物是其发病环节;虚气与留滞相互影响,“虚”“滞”互为因果,形成螺旋式发展的病机模式,为糖尿病早期干预提供了新的思路,具有重要的临床指导意义.

Newly onset type 2 diabetes belongs to the category of“thirst quenching”in traditional Chinese medicine.Its etiology and pathogenesis are complex and changeable,and there is no typical clinical manifestation,which increases our difficulty in understanding it.Based on the theory of“deficient-qi stagnation”,this article analyzes its etiology and pathogenesis characteristics,and conclusions are achieved that internal trauma,inadequate diet and inadequate endowment are its morbidity condition;insufficient qi and deficiency of viscera are the basis of its pathogenesis;pathological products such as qi stagnation,blood stasis,phlegm turbidity and poisonous aggregation are the pathogenesis;qi deficiency and stagnation interact with each other,and“deficiency”and“stagnation”are mutual causes and effects,forming a pathogenesis model of spiral development.It provides new ideas for early intervention of diabetes and has important clinical guidance significance.