基于三焦理论探析茯苓泽泻汤治疗糖脂代谢异常OA
Exploring Poria and Alisma Rhizome Decoction in Treating Abnormal Glucose and Lipid Metabolism Based on the Theory of the Triple Energizer
三焦理论源于《黄帝内经》,是中医藏象学说的重要组成部分,其功能在于通行元气、运行水液、疏布精微,既是气血津液升降出入的通道,亦是脏腑功能相互联系的枢纽.《金匮要略》所载之茯苓泽泻汤,是治疗水气病的经典方剂,其配伍精当,通过"健脾渗湿于中上,利水泻浊于下,温阳化气贯三焦"的整体调节,精准直击"三焦气化失司-水湿痰浊壅滞-糖脂代谢紊乱"的核心病理环节.作为恢复三焦通调、标本兼治糖脂代谢紊乱的代表性经方,其核心干预靶点在于重建三焦气化功能,分消走泄壅滞之湿浊,最终使水津四布,精微归正,代谢复常.
The theory of the triple energizer,originating from Huangdi Internal Classic,is an essential component of the visceral manifes-tation theory in TCM.Its functions include promoting the circulation of primordial qi,transporting body fluids,and distributing essential nutrients.It serves as both the pathway for the ascent,descent,entry,and exit of qi,blood,and body fluids,and the pivotal link intercon-necting the functions of the zang-fu organs.Poria and Alisma Rhizome Decoction recorded in Synopsis of the Golden Chamber,exempli-fies the application of the theory of the triple energizer.With its precise composition,the formula achieves holistic regulation by"strengthening the spleen and draining dampness in the middle and upper energizers,promoting diuresis and discharging turbidity in the lower energizer,and warming yang to activate qi throughout the triple energizer."With its precise composition,the formula achieves ho-listic regulation by"strengthening the spleen and draining dampness in the middle and upper energizers,promoting diuresis and dis-charging turbidity in the lower energizer,and warming yang to activate qi throughout the triple energizer."This directly targets the core pathological mechanism of"dysfunction of qi transformation of the triple energizer-accumulation of dampness and phlegm and turbidity-disorders of glucose and lipid metabolism."As a representative classical formula for restoring the free regulation of the triple energizer and addressing both the root and symptoms of glucose and lipid metabolism disorders,its key intervention target lies in rebuilding the qi transformation function of the triple energizer,dispersing and eliminating accumulated dampness and turbidity,ultimately leading to the balanced distribution of fluids,normalization of essential nutrients,and restoration of metabolism.
付菊花;康超茹
漯河市中医院,河南 漯河 462000漯河市中医院,河南 漯河 462000
医药卫生
糖脂代谢异常三焦理论茯苓泽泻汤《金匮要略》张仲景
abnormal glucose and lipid metabolismthe theory of the triple energizerPoria and Alisma Rhizome DecoctionSynopsis of the Golden ChamberZhang Zhongjing
《河南中医》 2026 (2)
176-180,5
河南医学科技攻关联合共建项目(LHGJ20240766)漯河医学高等专科学校科技创新项目(KJCXZYY202403)漯河市青年拔尖人才科研课题项目(LBJZ201604)
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