基于“营卫亢害调平”理论探析胰岛素抵抗.pdf

第40卷第4期长春中医药大学学报Vol.40No.4

2024年4月JournalofChangchunUniversityofChineseMedicineApr.2024

·学术探讨·DOI:10.13463/ki.cczyy.2024.04.001

基于“营卫亢害调平”理论探析胰岛素抵抗

陈锐，周佳慧，杨晗，米佳2*

（1.长春中医药大学，长春130117；2.长春中医药大学附属医院，长春130021）

摘要：胰岛素抵抗是多种代谢性疾病的共同致病基础，可引起糖类、脂类、蛋白质等物质聚于体内，为祖国医学痰湿、瘀血、

浊毒之害。经过对《黄帝内经》亢害承制理论的发扬，将“营卫亢害调平”理论纳入该病的病程分析中，其发展阶段可

概括为卫亢成痰、营雍致瘀、浊毒伤正三个阶段。治当以祛痰降脂平卫亢、散瘀通络除营亢、化浊解毒安脏腑为分期治

疗大法，以求营卫调平。

关键词：营卫；亢害承制；胰岛素抵抗；代谢紊乱

中图分类号：R575文献标志码：A

Analysisofinsulinresistancebasedonthetheoryofrestrainingthedamagecaused

byexcessivenutrientqianddefensiveqitoacquireharmony

CHENRui,ZHOUJiahui,YANGHan,MIJia?*

(1.ChangchunUniversityofChineseMedicine,Changchun130117,China;2.TheAffiliatedHospitalofChangchunUniversityof

ChineseMedicine,Changchun130021,China)

Abstract:Insulinresistanceisthecommonpathogenicbasisofavarietyofmetabolicdiseases,whichcancausesugar,lipids,

proteinsandothersubstancestoaccumulateinthebody,whichiscausedbyphlegm-damp,bloodstasisandturbiditypoisonin

traditionalChinesemedicine.AfterthedevelopmentofthetheoryofrestrainingexcessivenesstoacquireharmonyintheYellow

EmperorsNeijing,thetheoryofrestrainingthedamagecausedbyexcessivenutrientqianddefensiveqitoacquireharmonyhas

beenincludedintheanalysisofthecourseofthedisease,anditsdevelopmentstagecanbesummarizedintothreestages,namely

excessivedefensiveqiformingphlegmanddampness,nutrientqiflourishingformingbloodstasis,andbothdefensiveqiand

nutrientqiformingexcessiveturbiditypoisontoinjurethevisceraandmeridians.Thetreatmentshouldbebasedonthephased

treatmentmethodofexpellingphlegmandloweringbloodlipids,restrainingexcessivenessof