从“形气神”理论探讨肥胖病机

To Explore the Pathogenesis of Obesity in Chinese Medicine from the Theory of"Xing,Qi,And Shen"

“形气神”是中医经典理论的核心概念之一,与肥胖发病机制息息相关,文章主要通过对“形气神”理论的分析,对其与肥胖发病机制进行探讨。从“形”角度分析,认为热、痰、湿、瘀等有形邪气留滞于体,是肥胖发生的内在因素;从“气”的角度分析,认为气的升降无序是肥胖发生的中心环节;从“神”的角度分析,五脏神理论认为精神情志的异常可以导致五脏气血的紊乱,中医认为肥胖的病因主要与先天禀赋、饮食不节、过食肥甘厚腻、情志失调因素等相关,因此,认为肝、脾、肾三脏所藏之神异常是肥胖发生之根本。肥胖的形成是形、气、神三者相互影响的动态发展的结果。文章立足于“形气神”理论,分别从形之变-浊气留滞、气之失-升降失常、神之异-脏乱神失三个方面对肥胖的发病机制进行阐述,以期为临床治疗肥胖提供新的思路。

"The Trinity of Xing,Qi,and Shen"is one of the core concepts of the classical theory of Chinese medicine,and its pathological changes are closely related to the pathogenesis of obesity,the article mainly through the analysis of the theory of"Xing,Qi,and Shen",and the pathogenesis of obesity is discussed.From the"Xing"point of view analysis,that obesity is heat,phlegm,dampness,stasis and other tangible evil stagnation in the body,is the intrinsic factor in the occurrence of obesity;From the"Qi"point of view analysis,that the qi elevation disorder is the central link of obesity;From the"Shen"point of view analysis,the theory of the five organs of shen that the abnormalities of the spirit and emotions can lead to the five organs of the disorders of qi and blood,traditional Chinese medicine believes that the cause of obesity is mainly associated with innate endowment,dietary indiscretion,overfeeding of fat,sweet,thick,greasy and emotionally imbalanced factors,etc.,and,therefore,believe that the liver,spleen,kidney,the three organs of the God of the abnormalities of the occurrence of obesity of the root.The formation of obesity is the result of the dynamic development of form,qi and shen interacting with each other.Based on the theory of"xing,qi and shen",the article elaborates on the pathogenesis of obesity from three aspects,namely,the change of xing-turbid qi stagnation,the loss of qi-lifting and lowering disorder,and the difference of shen-dirty disorder and loss of shen.The three aspects of the pathogenesis of obesity are elaborated in order to provide new ideas for the clinical treatment of obesity.