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基于"固本培元"理论初探糖尿病前期的防治OA

A Preliminary Study on the Prevention and Treatment of Prediabetes based on the Theory of"Strengthening the Foundation and Nourishing the Essence"

中文摘要英文摘要

糖尿病前期(Prediabetes mellitus,PDM)是一种由多因素导致慢性代谢性疾病前期,起病隐匿并且极易被忽视,一旦任由其进展到糖尿病期,几乎会给患者带来不可逆的损害.固本培元理论是新安医学数百年来临证经验与智慧的结晶,它主张"顾护先后天之本,培补人体之元气"来防治疾病.文章通过PDM的中医认识和固本培元的理论溯源,找寻二者之间的联系,并结合临床相关诊疗经验和现代医学研究,阐明基于固本培元理论防治PDM的新思路.固本培元理论重视以脾肾两个方向来培补人体之元,从而达到扶正祛邪防邪的作用,这深刻的体现了中医未病先防的思想.而对PDM的干预最重要的目的就是防止其进一步发展成为糖尿病.以固本培元理论为指导思想遣方用药,发挥中医治未病、全方位、个体化的治疗优势,对临床防治PDM具有重要意义.

Pre-diabetes mellitus(PDM)is a chronic metabolic disease caused by multiple factors.It has an insidi-ous onset and is easily ignored.Once it is allowed to progress to the diabetic stage,it will almost cause irreversible damage to the patient.The theory of strengthening the foundation and nourishing the essence is the crystallization of the clinical experience and wisdom of Xin'an Medicine for hundreds of years.It advocates"protecting the foundation of the innate and acquired nature and nourishing the body's vitality"to prevent and treat diseases.This article traces the origin of the theory of strengthening the foundation and nourishing the essence through the TCM understanding of PDM and the theory of strengthening the foundation and nourishing the essence,and combines clinical relevant diagnosis and treatment experience with modern medical research to explain the new idea of preventing and treating PDM based on the theory of strengthening the foundation and nourishing the essence.The theory of strengthening the foundation and nourishing the essence emphasizes nourishing the body's essence in two directions,namely the spleen and kidney,so as to achieve the effect of strengthening the body,eliminating evil and preventing evil,which deeply reflects the idea of TCM to prevent before the disease.The most important purpose of intervening in PDM is to prevent it from further de-veloping into diabetes.Taking the theory of strengthening the foundation and nourishing the vital energy as the guiding ideology,the prescription and medication are used to give full play to the advantages of TCM in preventing diseases be-fore they occur,and the comprehensive and individualized treatment is of great significance for the clinical prevention and treatment of PDM.

吴泽龙;倪英群;张喆;叶蕾

安徽中医药大学 安徽合肥 230031安徽中医药大学第一附属医院 安徽合肥 230038

中医学

固本培元糖尿病前期脾肾同调未病先防

Strengthening the foundation and nourishing the vital energyPre-diabetesSpleen and kidney coordi-nationPrevention before disease occurs

《中医药临床杂志》 2024 (007)

1210-1213 / 4

2021年省医疗卫生重点专科建设项目内分泌科(wszdxkjs20210047);新安医学教育部重点实验室开放项目(2022XAYX06)

10.16448/j.cjtcm.2024.0703

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