从痰瘀论治代谢综合征理论探析
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摘要
近年来,我国代谢综合征发病率明显升高,代谢综合征患者罹患糖尿病和心血管疾病的风险较正常人显著增加,防治代谢综合征迫在眉睫。本文探讨影响代谢综合征发生发展的关键因素,认为痰瘀互结是代谢综合征的病机关键,痰瘀贯穿于代谢综合征发生发展的各个阶段,同时也是代谢综合征各症候群的重要病理因素。临床注重从痰瘀论治,疗效显著。为从中医角度了解痰瘀与代谢综合征的关系,运用中医药对其进行防治提供了理论依据。
In recent years, the incidence of metabolic syndrome in China has increased significantly. The risk of diabetes mellitus and cardiovascular disease in patients with metabolic syndrome is significantly higher than that of normal persons, so it is urgent to prevent and cure metabolic syndrome. This article discussed the key factors affecting the occurrence and development of metabolic syndrome. It is considered that phlegm and blood stasis interaction is the key to the pathogenesis of metabolic syndrome, and phlegm and blood stasis always runs through every stage of the occurrence and development of metabolic syndrome, which is also an important pathological factor of metabolic syndrome. Clinical treatment focuses on phlegm and blood stasis treatment, and the curative effect is remarkable. In order to understand the relationship between phlegm and blood stasis and metabolic syndrome from the perspective of TCM, this article provided a theoretical basis for the prevention and treatment of phlegm stasis and metabolic syndrome.
In recent years, the incidence of metabolic syndrome in China has increased significantly. The risk of diabetes mellitus and cardiovascular disease in patients with metabolic syndrome is significantly higher than that of normal persons, so it is urgent to prevent and cure metabolic syndrome. This article discussed the key factors affecting the occurrence and development of metabolic syndrome. It is considered that phlegm and blood stasis interaction is the key to the pathogenesis of metabolic syndrome, and phlegm and blood stasis always runs through every stage of the occurrence and development of metabolic syndrome, which is also an important pathological factor of metabolic syndrome. Clinical treatment focuses on phlegm and blood stasis treatment, and the curative effect is remarkable. In order to understand the relationship between phlegm and blood stasis and metabolic syndrome from the perspective of TCM, this article provided a theoretical basis for the prevention and treatment of phlegm stasis and metabolic syndrome.
引文
[1]韩曼,周丽波,刘喜明.基于专家访谈的代谢综合征中医病名、基本证候、病因病机及用药规律研究[J].中医杂志,2011,52(22):1918-1921.
[2]袁月平,李英,陈伯谦.代谢综合征中医病机特点及治法浅析[J].四川中医,2016,34(2):37-38.
[3]仝小林,段军.代谢综合征的中医认识和治疗[J].中日友好医院学报,2002,16(5/6):347-348,350.
[4]段娟,仝小林.《内经》肥胖三型的影响因素[J].江苏中医药,2010,42(2):9-11.
[5]许伟明,胡镜清,彭锦,等.肥胖与痰瘀互结病机关系论析[J].环球中医药,2015,8(6):654-657.
[6]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[7]朱燕波,王琦,吴承玉,等.18805例中国成年人中医体质类型与超重和肥胖关系的Logistic回归分析[J].中西医结合学报,2010,8(11):1023-1028.
[8]张笑梅,朱燕波,邬宁茜,等.腹型肥胖和全身型肥胖与中医体质类型的关系[J].天津中医药,2014,31(10):603-607.
[9]杨宇峰,滕飞.代谢综合征中西医结合治疗学[M].沈阳:辽宁科学技术出版社,2015:170.
[10]高洁,王旭.从痰瘀论治代谢综合征[J].浙江中医药大学学报,2013,37(12):1463-1465.
[11]苏润泽,段春鹏,贺娟.辨证论治代谢综合征之我见[J].国际中医中药杂志,2008,30(6):424-425.
[12]焦晓民,阮琳.高血压病痰瘀互结证理论探析[J].中华中医药学刊,2012,30(11):2463-2465.
[13]莫国裕.祛瘀泄浊散治疗社区内老年性高代谢综合征及高尿酸血症疗效观察[J].深圳中西医结合杂志,2017,27(18):56-58.
[14]周晖,高彦彬.糖脂平对代谢综合征患者胰岛素敏感性及炎症因子的影响[J].现代中医临床,2015,22(3):11-14.
[15]周晖,高彦彬.糖脂平合剂对代谢综合征患者血管内皮功能的影响[J].北京中医药,2011,30(12):918-920.
[16]李勤,邹大威,朱智耀,等.糖脂平治疗代谢综合征的临床研究[J].中国实验方剂学杂志,2012,18(21):287-290.
[17]许然,庄欣.降脂方治疗代谢综合征54例临床观察[J].湖南中医杂志,2018,34(2):53-55.
[18]吉金荣,高彩霞,孙金梅.丹蒌片对代谢综合征患者血管内皮功能的影响[J].中国实用医药,2012,7(25):172-174.
[19]张晋岳,胡志耕,王爱梅,等.化痰活血膏对痰瘀互结型代谢综合征患者体重指数、血压、血脂、血糖的影响[J].山西中医学院学报,2016,17(4):48-50.
[2]袁月平,李英,陈伯谦.代谢综合征中医病机特点及治法浅析[J].四川中医,2016,34(2):37-38.
[3]仝小林,段军.代谢综合征的中医认识和治疗[J].中日友好医院学报,2002,16(5/6):347-348,350.
[4]段娟,仝小林.《内经》肥胖三型的影响因素[J].江苏中医药,2010,42(2):9-11.
[5]许伟明,胡镜清,彭锦,等.肥胖与痰瘀互结病机关系论析[J].环球中医药,2015,8(6):654-657.
[6]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[7]朱燕波,王琦,吴承玉,等.18805例中国成年人中医体质类型与超重和肥胖关系的Logistic回归分析[J].中西医结合学报,2010,8(11):1023-1028.
[8]张笑梅,朱燕波,邬宁茜,等.腹型肥胖和全身型肥胖与中医体质类型的关系[J].天津中医药,2014,31(10):603-607.
[9]杨宇峰,滕飞.代谢综合征中西医结合治疗学[M].沈阳:辽宁科学技术出版社,2015:170.
[10]高洁,王旭.从痰瘀论治代谢综合征[J].浙江中医药大学学报,2013,37(12):1463-1465.
[11]苏润泽,段春鹏,贺娟.辨证论治代谢综合征之我见[J].国际中医中药杂志,2008,30(6):424-425.
[12]焦晓民,阮琳.高血压病痰瘀互结证理论探析[J].中华中医药学刊,2012,30(11):2463-2465.
[13]莫国裕.祛瘀泄浊散治疗社区内老年性高代谢综合征及高尿酸血症疗效观察[J].深圳中西医结合杂志,2017,27(18):56-58.
[14]周晖,高彦彬.糖脂平对代谢综合征患者胰岛素敏感性及炎症因子的影响[J].现代中医临床,2015,22(3):11-14.
[15]周晖,高彦彬.糖脂平合剂对代谢综合征患者血管内皮功能的影响[J].北京中医药,2011,30(12):918-920.
[16]李勤,邹大威,朱智耀,等.糖脂平治疗代谢综合征的临床研究[J].中国实验方剂学杂志,2012,18(21):287-290.
[17]许然,庄欣.降脂方治疗代谢综合征54例临床观察[J].湖南中医杂志,2018,34(2):53-55.
[18]吉金荣,高彩霞,孙金梅.丹蒌片对代谢综合征患者血管内皮功能的影响[J].中国实用医药,2012,7(25):172-174.
[19]张晋岳,胡志耕,王爱梅,等.化痰活血膏对痰瘀互结型代谢综合征患者体重指数、血压、血脂、血糖的影响[J].山西中医学院学报,2016,17(4):48-50.