基于脾虚论治肥胖型2型糖尿病

Treatment of Obese Type 2 Diabetes Mellitus Based on Spleen Deficiency

《脾胃论》提出:“百病皆由脾胃衰而生也”。脾虚为百病之源,先天禀赋不足、饮食不节、过食肥甘、情志失调、劳倦内伤均可导致脾胃运化失常,湿阻中焦,膏浊内生,从而导致肥胖型2型糖尿病的发生发展。肥胖型2型糖尿病的发生主要责之于脾,痰、湿、浊、瘀为脾失运化的病理产物,加重了病程的进展,导致了疾病的发生。脾为后天之本,主运化,脾虚则运化失司。此文从脾虚致病理论出发,对肥胖型2型糖尿病的中医病因病机进行探讨,提出肥胖型2型糖尿病应从脾论治。

In Piwei Lun,it says:“all diseases due to spleen and stomach failure”,spleen deficiency is the source of all diseases,and the occurrence of obesity type 2 diabetes is mainly due to the spleen.Deficiency of congenital endowment,improper diet,excessive fat and sweet,emotional disorder,fatigue and internal injury can lead to abnormal transport of spleen and stomach,dampness in the middle jiao,turbid paste endogenous,this leads to the development of obese type 2 diabetes.The spleen is the main cause of obese type 2 diabetes,phlegm,dampness,turbidity and stasis are the pathological products of spleen deficiency and spleen losing transport,also exacerbating the progression of the disease,leading to the onset of disease.The spleen is the foundation of the acquired nature,the main transport,the spleen deficiency is the transport loss.This article starts from the theory of pathogenesis of spleen deficiency to explore the etiology and pathogenesis of obesity type 2 diabetes Mellitus in traditional Chinese medicine,suggesting that the treatment of obesity type 2 diabetes should be based on the spleen.