基于“气机升降”理论探析2型糖尿病的病机证治

Exploring the Disease Mechanism and Treatment of Type 2 Diabetes Based on Ascending and Descending of Qi Movement

“气机升降”理论是中医学基本理论中重要的组成部分。由于气与人体的代谢有着密切的联系,而2型糖尿病正是以代谢紊乱为特点的疾病,气在其发病过程中起到关键作用。本文阐释了气机升降理论的渊源,概述了中医学对2型糖尿病的认识,同时对气机升降与脏腑之间的关系也作了系统阐释,由于气机升降体现了脏腑的生理特性,故而从肝肺、脾胃、心肾气机方面具体论述了气机升降失调是2型糖尿病发生发展的基本病理环节。此外,基于气机升降理论还探讨了2型糖尿病的治法,以及调和气机升降的临证经验,以期为临床提供参考。The theory of “Ascending and Descending of Qi Movement” is an important part of the basic theory of traditional Chinese medicine. Because qi is closely related to the metabolism of human body, and type 2 diabetes is a disease characterized by metabolic disorder, Qi plays a key role in its pathogenesis. This paper expounds the origin of the theory of qi-machine ascending and descending, summarizes the understanding of type 2 diabetes in traditional Chinese medicine, and expounds systematically the relationship between qi-machine ascending and descending and Zang-fu organs. Since the ascending and descending of Qi mechanism embodies the physiological characteristics of Zang-fu organs, it is discussed concretely that the disorder of ascending and descending of Qi mechanism is the basic pathological link in the occurrence and development of type 2 diabetes mellitus from the aspects of liver, lung, spleen and stomach, heart and kidney qi mechanism. In addition, based on the theory of rising and falling of Qi, we also discussed the treatment of type 2 diabetes and the clinical experience of regulating the rising and falling of Qi, to provide reference for the clinic.