基于“营卫亢害调平”理论探析胰岛素抵抗

Analysis of insulin resistance based on the theory of restraining the damage caused by excessive nutrient qi and defensive qi to acquire harmony

胰岛素抵抗是多种代谢性疾病的共同致病基础,可引起糖类、脂类、蛋白质等物质聚于体内,为祖国医学痰湿、瘀血、浊毒之害。经过对《黄帝内经》亢害承制理论的发扬,将“营卫亢害调平”理论纳入该病的病程分析中,其发展阶段可概括为卫亢成痰、营壅致瘀、浊毒伤正三个阶段。治当以祛痰降脂平卫亢、散瘀通络除营亢、化浊解毒安脏腑为分期治疗大法,以求营卫调平。

Insulin resistance is the common pathogenic basis of a variety of metabolic diseases,which can cause sugar,lipids,proteins and other substances to accumulate in the body,which is caused by phlegm-damp,blood stasis and turbidity poison in traditional Chinese medicine.After the development of the theory of restraining excessiveness to acquire harmony in the Yellow Emperor's Neijing,the theory of"restraining the damage caused by excessive nutrient qi and defensive qi to acquire harmony"has been included in the analysis of the course of the disease,and its development stage can be summarized into three stages,namely excessive defensive qi forming phlegm and dampness,nutrient qi flourishing forming blood stasis,and both defensive qi and nutrient qi forming excessive turbidity poison to injure the viscera and meridians.The treatment should be based on the phased treatment method of expelling phlegm and lowering blood lipids,restraining excessiveness of defensive qi,and dispelling stasis and removing obstruction in collaterals,restraining excessiveness of nutrient qi,and resolving turbidity and detoxication,calming zang fu viscera,in order to harmonize yingfen and weifen.