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基于虚痰浊瘀论治伴有胰岛素抵抗的肥胖症

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当今,伴有胰岛素抵抗的肥胖症已成为主要代谢性疾病之一.中医学理论认为,虚、痰、浊、瘀在伴有胰岛素抵抗的肥胖症患者的发生、发展及病理改变中具有重要作用.其以脾虚为发病内在基础,由此而生的痰浊、血瘀既是疾病发展中的病理产物,亦是加速疾病进展的病理因素,随着疾病的发展过程表现出不同的特性,直接或间接损伤机体.基于伴有胰岛素抵抗的肥胖症"虚-痰-浊-瘀"的疾病发展过程,提出"补虚健脾化痰""清热化痰降浊""化浊祛瘀除湿"等相应对策,为中医药辨治肥胖提供思路.
Treatment of obesity with insulin resistance from deficiency,phlegm,turbidity and blood stasis
Nowadays,obesity with insulin resistance has become one of the major metabolic diseases.According to the theory of traditional Chinese medicine,deficiency,phlegm,turbidity and blood stasis play an important role in the oc-currence,development and pathological changes of obesity patients with insulin resistance.Especially,spleen deficiency is the internal basis of the disease and it can bring phlegm turbidity and blood stasis.Phlegm turbidity and blood stasis are not only pathological products in the development of disease,but also pathological factors that accelerate the progression of dis-ease.With the development of disease,they show different characteristics and directly or indirectly damage the body.Based on the development process of"deficiency-phlegm-turbidity-blood stasis"of obesity accompanied by insulin resistance,the corresponding countermeasures such as"tonifying deficiency,strengthening spleen and dissipating phlegm","clearing heat,dissipate phlegm and reducing turbidity"and"dissipating turbidity,eliminating blood stasis and removing dampness"are put forward to provide ideas for TCM differentiation and treatment of obesity.

phlegm-dampness caused by spleen-deficiencyintermingled phlegm and blood stasisinsulin resistanceobesity

李艳、翁思颖

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浙江中医药大学第三临床医学院,浙江 杭州 310053

浙江中医药大学附属宁波市中医院,浙江 宁波 315010

脾虚痰湿 痰瘀互结 胰岛素抵抗 肥胖

国家自然科学基金项目国家中医药管理局科技司-浙江省共建项目浙江省中医药科技计划项目

82004325GZY-ZJ-KJ-240952021ZA127

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(5)
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