2型糖尿病从脾论治理论探讨

Discussion on the Theory of Treatment of Type 2 Diabetes from the Spleen

糖尿病作为最常见的慢性疾病之一,发病率逐年升高,严重危害人类健康。通过对春秋战国到民国时期相关古籍文献的整理,从"脾虚致消渴"理论入手,分析其病因病机为饮食不节,脾脏虚损而运化失司;情志失调,忧思伤脾气机结滞,升降失常,运化失职;禀赋不足,脾气亏虚,气血生化乏源;劳倦过度,脾失健运,痰湿内生。其病机关键为脾虚。以从脾论治消渴为总纲,根据脾虚不同证候施以健脾益气、健脾化湿、升阳健脾等法。为了更好地为基于从脾论治糖尿病研究提供借鉴,对脾虚致消的因机、证治进行梳理和挖掘,以期为中医古籍文献研究及临床实践提供借鉴指导。

Diabetes is one of the most common chronic diseases in China,and its incidence is increasing year by year,which seriously endangers human health. Through the compilation of relevant ancient books and documents from the Spring and Autumn Period and Warring States Period to the Republic of China Era,starting from the theory of“diabetes due to spleen deficiency”,the etiology and pathogenesis are analyzed as improper diet,spleen deficiency and loss of transportation;emotional disorder,worry and temper. Stagnation of mechanism,abnormal movements,dereliction of duty;insufficient endowment,deficiency of spleen,lack of biochemical source of Qi and blood;excessive fatigue,loss of spleen health,and endogenous phlegm. The key to its pathogenesis is spleen deficiency. Taking the spleen theory to treat diminishing thirst as the general outline,according to the different syndromes of spleen deficiency,the methods of invigorating the spleen and replenishing Qi,invigorating the spleen and dampness,promoting the Yang and invigorating the spleen are applied. In order to better provide reference for the research on the treatment of diabetes based on the spleen theory,the causes,syndromes and treatments of spleen deficiency caused by spleen deficiency are sorted out and excavated,in order to provide reference guidance for the research of ancient Chinese medicine literature and clinical practice.