首页|糖尿病与脑卒中合病之中医病因病机框架结构研究

糖尿病与脑卒中合病之中医病因病机框架结构研究

扫码查看
糖尿病与脑卒中在人群中均属于常见疾病,但近年来临床研究显示糖尿病与脑卒中互相影响,对患者的日常生活造成沉重负担。糖尿病与脑卒中合并时,病因病机更为错综复杂。消渴病阴虚燥热可能加剧气血逆乱,促使中风更易发生;反之,中风也可能加重消渴病,形成恶性循环。现代医学研究表明,高血糖状态对血管内皮细胞造成损伤,增加氧化应激和炎性反应,导致动脉硬化和血栓形成,诱发脑卒中。该研究通过梳理中医经典、官修和各医家理论学术著作及现代医学研究进展与成果,分析糖尿病合并脑卒中中医病因病机理论框架,将其总结为饮食不节,脾胃虚弱、情志失调,肝气郁结、劳倦体衰,肾精亏虚的因机理论,结合现代对糖尿病和脑卒中认识、研究,发挥中医对临床治疗的指导作用。
Study on TCM Etiology and Pathogenesis Framework for Combination of Diabetes Mellitus and Stroke
Both diabetes mellitus and stroke are common diseases in the population,but in recent years,clinical studies have shown that diabetes mellitus and stroke affect each other,causing a heavy burden on patients'daily lives.When diabetes and stroke are combined,the etiology is more complex.Yin deficiency and dry heat in diabetes mellitus may exacerbate Qi and blood disorders,making stroke more likely to occur;conversely,stroke may aggravate diabetes mellitus,forming a vicious circle.Mod-em medical research has shown that hyperglycemic state causes damage to vascular endothelial cells,increases oxidative stress and inflammatory response,leads to atherosclerosis and thrombosis,and induces stroke.This study analyzed the theoretical frame-work of TCM etiology and pathogenesis of diabetes mellitus combined with stroke by combing the classics of TCM,official revision and theoretical academic writings of various medical practitioners as well as the advances and achievements of modern medical re-search,and summarized it into the causative theory of dietary impurity,deficiency of spleen and stomach,emotional disorders,liver Qi stagnation,fatigue and kidney essence deficiency,which can be combined with the modern understanding of diabetes mellitus and stroke,and can exert the guiding role of TCM in clinical treatment of diabetes and stroke.

diabetes mellitusstroketraditional Chinese medicineetiology and pathogenesis

张英、刘军彤、周莹、王尽欢、杨宇峰

展开 >

辽宁中医药大学,辽宁沈阳 110847

糖尿病 脑卒中 中医 病因病机

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(12)