基于“脾气散精”理论探讨从脾论治胰岛素抵抗

Discussion on Treatment of Insulin Resistance from Spleen Based on Theory of "Spleen Qi Dispersing Essence"

“脾气散精”理论在胰岛素抵抗相关疾病的防治方面具有重要指导意义。本文介绍了现代医学胰腺与中医“脾”的联系,阐述了中医的“脾”与现代解剖学所指的“脾”不是同一脏器,胰腺属于中医学“脾”的范畴,探讨了胰岛素抵抗与中医“脾不散精”相关理论及现代研究,认为现代医学对胰岛素抵抗在糖尿病发病机制的重视,与中医强调“脾不散精”是导致消渴的重要病因高度吻合。因此笔者认为“脾不散精”是导致胰岛素抵抗的关键病机,治疗当疏肝与健脾并重并以健脾为主,对胰岛素抵抗相关代谢疾病的防治具有重要的临床指导意义。

The theory of "spleen Qi dispersing essence" has important guiding significance in the prevention and treatment of insulin resistance-related diseases.This paper introduces the relationship between the pancreas in modern medicine and the spleen in Chinese medicine, and expounds that the spleen in Chinese medicine is not the same organ as the spleen in modern anatomy.The pancreas belongs to the category of "spleen" in Chinese medicine.This paper discusses the theory and modern research on the relationship between insulin resistance and "spleen does not disperse essence" in chinese medicine, and holds that the emphasis of modern medicine on insulin resistance in the pathogenesis of diabetes is highly consistent with the emphasis of Chinese medicine on "spleen does not disperse essence" as an important cause of Xiaoke.Therefore, the author believes that "spleen does not disperse essence" is the key pathogenesis leading to insulin resistance, and the treatment should focus on strengthening the spleen and soothing the liver.It has important clinical significance for the prevention and treatment of insulin resistance-related metabolic diseases.