实用中医内科杂志2026，Vol.40Issue(1)：45-48,4.DOI:10.13729/j.issn.1671-7813.Z25071703
从"瘀热"探讨糖尿病合并脂代谢异常的病机与论治
Exploring the Pathogenesis and Treatment of Diabetic Dyslipidemia from the Perspective of the"Stasis-Heat"Theory
摘要
Abstract
Diabetic dyslipidemia is a clinically common and significantly harmful endocrine-metabolic disorder that marked-ly increases the risk of cardiovascular and cerebrovascular events.Based on the theory of"Stasis-Heat",this article elucidates the pathogenic evolution of diabetic dyslipidemia.Its core pathogenesis lies in deficiency in origin and excess in manifestation.De-ficiency in origin is rooted in stagnant heat in the middle energizer and deficiency of both qi and yin,while excess in manifestation primarily involves heat scorching body fluids and blood,congealing fluids into stasis.Due to the mutual entanglement of"stasis"and"heat",a dynamic evolutionary chain characterized by"stasis-heat interaction,toxin accumulation,and collateral damage"is formed,driving the progression of the disease towards vascular complications.Based on the characteristics of different disease stages,treatment is stratified using methods to clear and disperse stagnant heat,resolve stasis and dissipate lipids,and detoxify and unblock collaterals.This approach aims to achieve the synergistic effect of regulating glucose-lipid metabolism and preven-ting vascular complications,providing a new perspective for TCM pattern differentiation and treatment.关键词
糖尿病/脂代谢异常/高脂血症/瘀热互结/糖脂毒性/络病Key words
diabetes mellitus/dyslipidemia/hyperlipidemia/stasis-heat interaction/glucose-lipid toxicity/collateral disease分类
医药卫生引用本文复制引用
孟一凡,王丽..从"瘀热"探讨糖尿病合并脂代谢异常的病机与论治[J].实用中医内科杂志,2026,40(1):45-48,4.基金项目
全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
辽宁省科学技术计划项目(20180550718) （20180550718）
沈阳市科技计划项目(19-112-4-077) （19-112-4-077）
