从络病理论探析针灸治疗胰岛素抵抗的研究思路

Analysis on Treating Insulin Resistance by Acupuncture Guided by Theory of Collateral Disease

胰岛素抵抗是2型糖尿病的前驱状态,也是2型糖尿病的核心发病机制,属于中医的“脾瘅”范畴。文章通过阐述络病分布特点、生理特点以及胰岛素抵抗的病机特点,分析络病与胰岛素抵抗之间的关系。针对以肥胖为特征的胰岛素抵抗,结合“中满内热”病机,根据“郁、热、虚、损”四个阶段的特点,从络病学说探讨针灸治疗胰岛素抵抗的研究思路,以期为临床提供借鉴。

Insulin resistance is the precursor of type 2 diabetes mellitus and the core pathogenesis of type 2 diabetes mellitus,which belongs to the category of“spleen abscess”in traditional Chinese medicine.This article analyzes the relationship between collateral diseases and insulin resistance by expounding the distribution characteristics,physiological characteristics and pathogenesis characteristics of collateral diseases.Aiming at insulin resistance characterized by obesity,combined with“middle-full internal heat”as the pathogenesis,according to the characteristics of four stages of“depression,heat,deficiency and loss”,this paper discusses the research ideas of acupuncture and moxibustion treatment of insulin resistance from the theory of collateral disease In order to provide reference for clinic.