首页|从脾虚湿盛论治肥胖临证经验

从脾虚湿盛论治肥胖临证经验

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肥胖是一种由多因素引起的慢性代谢性疾病,肥胖可导致胰岛素的敏感性下降,增强胰岛素抵抗,是引起2型糖尿病的原因之一.其临床危害性较大,是多种基础疾病的高危因素,故临床上深化对肥胖症病例诊治的探讨与思考具有极高的实用价值.导师倪英群认为肥胖的基本病机是胃强脾弱,胃纳太过,壅滞脾土,从而生成痰湿,其核心病机多责之于脾满,其病位主要在脾与肌肉,尤其与脾胃紧密联系,究其根本原因,与饮食摄入量和运动频次密切相关.文章从病因病机,治疗治法,药对药组,验案举隅等多个维度,详细剖析倪师对于肥胖症的经验和思考,以及对肥胖症临床诊疗思路进行揆度,为肥胖症临床诊治实践提供参考.
Clinical Experience of Treating Obesity from Spleen Deficiency and Dampness
Obesity is a chronic metabolic disease caused by multiple factors.Obesity can lead to decreased insulin sensitivity and enhanced insulin resistance,which is one of the causes of type 2 diabetes.It is clinically harmful and is a high-risk factor for many basic diseases.Therefore,it is of great practical value to deepen the discussion and thinking on the diagnosis and treatment of obesity cases in clinical practice.NI Yingqun,deputy chief physician of our teacher,believes that the basic pathogenesis of obesity is strong stomach and weak spleen,excessive appetite,stagnation of spleen and earth,and thus the formation of phlegm and dampness.The core pathogenesis is mostly attributed to spleen fullness.The disease location is mainly in the spleen and muscles,especially closely related to the spleen and stomach.The root cause is closely related to dietary intake and exercise frequency.This article analyzes NI's experience and thinking on obesity in detail from multiple dimensions such as etiology and pathogenesis,treatment methods,drug pair drug combination,and case examples,as well as the clinical diagnosis and treatment ideas of obesity,to provide a ref-erence for the clinical diagnosis and treatment practice of obesity.

ObesitySpleen deficiency and dampnessDrug pair drug combinationClinical experience

吴春琴、倪英群

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安徽中医药大学第一临床医学院 安徽合肥 230038

安徽中医药大学第一附属医院 安徽合肥 230031

肥胖 脾虚湿盛 药对药组 临证经验

新安医学教育部重点实验室开放项目2021年重大疾病治疗重点专科建设项目安徽省高校优秀人才支持计划项目

2022XAYX06wszdxkjs20210047gxyqZD2021114

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(7)
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