首页|期刊导航|中医药临床杂志|基于阴阳理论探讨线粒体稳态在糖尿病周围神经病变中的作用

基于阴阳理论探讨线粒体稳态在糖尿病周围神经病变中的作用OA

Exploring the Role of Mitochondrial Homeostasis in Diabetic Peripheral Neuropathy based on Yin-Yang Theory

中文摘要英文摘要

糖尿病周围神经病变(DPN)是一种周围神经系统退行性疾病,是糖尿病最常见的慢性并发症之一,严重影响人类健康和生活质量,而线粒体稳态失衡是发生DPN的重要病理环节.文章从中医阴阳理论的角度出发,阐述线粒体稳态在DPN中的作用,认为线粒体稳态中蕴涵着阴阳对立制约、互根互用、消长平衡等内容.故提出线粒体稳态失衡导致DPN的本质为"阳化气不足",其关键责之"阴成形太过",强调调整阴阳的重要性.单味中药对DPN的治疗体现在"补阳化气""损阴散形"两方面,中药复方和中成药则补损同施、标本兼治,通过调节线粒体生物合成、线粒体动力学及线粒体自噬途径维持自身稳态,起到治疗DPN的作用.将中医经典理论与现代医学相结合,以期为进一步研究中医药指导治疗DPN提供思路和理论依据.

Diabetic peripheral neuropathy(DPN)is a degenerative disease of the peripheral nervous system and one of the most common chronic complications of diabetes,seriously affecting human health and quality of life.Mitochon-drial homeostasis imbalance is a crucial pathological link in the development of DPN.This article elucidates the role of mitochondrial homeostasis in DPN from the perspective of Traditional Chinese Medicine(TCM)Yin-Yang theory,arguing that mitochondrial homeostasis embodies the opposing,mutually dependent,and balanced nature of Yin and Yang.Therefore,it proposes that the essence of DPN caused by mitochondrial homeostasis imbalance is"insufficient Yang Qi,"with the key blame being"excessive Yin formation,"emphasizing the importance of adjusting Yin and Yang.Single-herb TCM treatment of DPN focuses on"tonifying Yang Qi"and"reducing Yin Qi,"while compound TCM for-mulas and prepared TCM medicines address both the root cause and symptoms,maintaining homeostasis by regulating mitochondrial biosynthesis,mitochondrial dynamics,and the mitophagy pathway,thus treating DPN.This approach combines classical TCM theory with modern medicine,aiming to provide insights and theoretical basis for further re-search on TCM guided treatment of DPN.

傅一鸣;章清华

天津中医药大学第一附属医院,国家中医针灸临床医学研究中心 天津 300381天津中医药大学第一附属医院,国家中医针灸临床医学研究中心 天津 300381

医药卫生

阴阳理论线粒体稳态糖尿病周围神经病变

Yin-Yang theoryMitochondrial homeostasisDiabetic peripheral neuropathy

《中医药临床杂志》 2026 (3)

424-429,6

天津市教委科研计划项目(2022ZD043)

10.16448/j.cjtcm.2026.0302

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