《黄帝内经》"调和"治法与糖尿病"态靶辨治"考辨OA
Textual Research on the"Harmonizing"Therapy in The Yellow Emperor's Inner Classic and the"State-Target Differentiation and Treatment"of Diabetes
糖尿病为常见慢性代谢障碍性疾病,中医病机为气阴失和,阴虚燥热,进而发展为久病入络,络脉瘀阻,归属于"消渴"范畴.《黄帝内经》中"和"的思想认为人体为统一整体,从气血津液失养、脏腑阴阳失衡进行辨证论治,在疾病的诊断治疗与调养生息方面皆具有根本性的指导意义.仝小林教授以《黄帝内经》为基石,创新糖尿病理论体系,构建"态靶辨治"诊疗体系,提出糖尿病"郁热虚损"的基本病机,治以益气活血通络,以控制血糖为基础,密切关注血管并发症为重点.本文从《黄帝内经》中"和"的思想为出发点阐释糖尿病的临床论治与态靶辨治的关联,以期为现代糖尿病的中医治疗提供借鉴.
Diabetes for a common chronic metabolic disorders,In traditional Chinese medicine(TCM),its pathogenesis is attrib‑uted to disharmony of qi and yin,yin deficiency and dryness-heat,which further develops into chronic disease affecting the collaterals,leading to collateral obstruction,and thus falls under the category of"Xiao Ke".The concept of"harmonization"in The Yellow Em-peror's Inner Classic views the human body as a unified whole,emphasizing the differentiation and treatment of diseases based on the malnutrition of qi,blood,and body fluids,as well as the imbalance between yin and yang in the organs.This concept provides funda‑mental guidance for the diagnosis,treatment,and health maintenance of patients.Professor Tong Xiaolin,building upon The Yellow Em-peror's Inner Classic,innovated a theoretical system for diabetes,constructing a"state-target differentiation and treatment"system.He proposed the basic pathogenesis of diabetes as"depression,heat,deficiency and damage",treating it by tonifying qi,activating blood circulation,and unblocking the meridians,with blood sugar control as the foundation and close monitoring of vascular complications as the focus.This article,starting from the concept of"harmonization"in The Yellow Emperor's Inner Classic,elucidates the relationship between the clinical treatment of diabetes and state-target differentiation and treatment,aiming to provide a reference for modern TCM treatment of diabetes.
王亚运;赵林华;王思成;唐茹梦;朱文辉;王文帆;蔡斌杰;罗金丽
长春中医药大学中医学院,吉林 长春 130100中国中医科学院广安门医院代谢病研究所,北京 100053北京中医药大学中医学院,北京 100029北京中医药大学中医学院,北京 100029长春中医药大学中医学院,吉林 长春 130100长春中医药大学中医学院,吉林 长春 130100长春中医药大学中医学院,吉林 长春 130100南方医科大学中西医结合医院,广东 广州 510315
医药卫生
调和态靶糖络病瘀浊虚损益气活血通络糖尿病养生《黄帝内经》
harmonizationstate-targetsugar collateral diseasestasis,turbidity,deficiency,and damagetonifying qi,activating blood circulation,and unblocking the meridiansdiabeteshealth maintenanceThe Yellow Emperor's Inner Classic
《南京中医药大学学报》 2026 (3)
346-351,6
2022年佛山市南海区重点领域科技攻关专项(南科[2023]20-18)中国博士后科学基金第74批面上资助项目(2023M740783)广东省自然科学基金面上项目(2025A1515012709)
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