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基于玄府理论探讨脾瘅辨治

Exploration of the Differentiation and Treatment of Pidan Based on Xuanfu Theory

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【作者】 魏凯善罗敏魏静朱建伟殷丽平

【Author】 WEI Kai-shan;LUO Min;WEI Jing;ZHU Jian-wei;YIN Li-ping;Chengdu University of TCM;Affiliated Hospital of Chengdu University of TCM;

【通讯作者】 殷丽平;

【机构】 成都中医药大学成都中医药大学附属医院

【摘要】 脾瘅与消渴病关系最为密切,是为消渴病前期。玄府作为人体最微小的结构功能单位,其理论阐明了多种病证的致病机理。基于玄府理论辨治脾瘅,认为脾瘅之"内热"的核心病机源于"散精障碍、脾玄府郁闭,疏泄失常、肝玄府郁闭,蒸化失用、肾玄府郁闭",由此提出脾瘅之治当以"开通玄府"为要,包括"运脾开玄、助脾散精,调肝开玄、畅调气机,补肾开玄、宣通气液"三法,以期为临床治疗脾瘅、阻断消渴病发生提供新的治疗思路。

【Abstract】 Pidan is the most closely syndrome related to diabetes, and it is the early stage of diabetes. Xuanfu is the smallest structural and functional unit of the human body,its theory clarifies the pathogenesis of various diseases. Based on Xuanfu theory to treat Pidan, it is believed that the core pathogenesis of "internal heat" in Pidan is due to "spreading disorder, spleen Xuanfu closed; sparse dysfunction, liver Xuanfu stagnation; steaming disuse, kidney Xuanfu stagnation". Therefore, it is proposed that the treatment of Pidan should be based on the "Opening Xuanfu" theory, including "invigorating spleen, promoting spleen essence; regulating liver, regulating Qi flow; and tonifying kidney, dredging Qi-fluid", so as to provide new ideas for clinical treatment of Pidan and block the occurrence of diabetes.

【关键词】 脾瘅玄府理论开通玄府
【Key words】 PidanXuanfu theoryOpening Xuanfu
【基金】 国家中医临床研究基地业务建设第二批科研专项(JDZX2015222)-基于临床科研信息一体化平台的慢病管理模式研究及中医诊疗方案、临床路径推广应用;242/发展规划处/双一流建设办公室(242029013)-2018年高原学科建设-中医内分泌病学
  • 【文献出处】 中国中医基础医学杂志 ,Journal of Basic Chinese Medicine , 编辑部邮箱 ,2020年08期
  • 【分类号】R255.4
  • 【被引频次】9
  • 【下载频次】582
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