摘要
血脂异常一直以来都被认为是心脑血管疾病发病及病死的重要因素之一,严重威胁着我国人民的生命健康。近年来众多研究证明,肥胖症与血脂异常存在紧密联系。祖国医学认为,五行之中,肝属木、脾属土,两者为相克关系,当土有余或者木不足时,木与土的相克关系发生异常,出现土反侮木的表现,即“土壅木郁”,这是五行关系的异常制胜状态,是导致肥胖症的重要病机之一。本文基于五行乘侮理论,试从“土壅木郁”理论阐述肥胖症与血脂异常的相互影响,同时对肥胖症诱发血脂异常的现代医学机制进行初探,以期证明“土壅木郁”为肥胖症引起血脂异常的中医理论基础,强调减重在血脂异常治疗中的作用,为临床防治血脂异常提供新思路。
Dyslipidemia has always been regarded as one of the important factors of the incidence and death of cardiovascular and cerebrovascular diseases,which seriously threatens the life and health of our people.In recent years,many studies have proved that obesity is closely related to dyslipidemia.According to the traditional Chinese medicine(TCM),among the five elements,the liver belongs to wood and the spleen belongs to earth,and the relationship between them is inter-inhibition.When earth is surplus or wood is insufficient,the inter-inhibition relationship between wood and earth is abnormal,and earth will reversely restrict wood,that is,"earth-obstructing and wood-stagnation",which is the abnormal promotion and restraint state of the five elements relationship and one of the important pathogeneses leading to obesity.Based on the theory of"over-restriction and reverse restriction in five elements",this paper tries to explain the interaction between obesity and dyslipidemia from the"earth-obstructing and wood-stagnation"theory,and initially explores the modern medical mechanism of obesity-induced dyslipidemia,in order to prove that"earth-obstructing and wood-stagnation"is the TCM theoretical basis for obesity-induced dyslipidemia,and emphasize the role of weight loss in the treatment of dyslipidemia,so as to provide new ideas for clinical prevention and treatment of dyslipidemia.
作者
孙菁
许徐秀生
赵莎
王辰宇
李治
包金晶
陈玉华
刘苏
周希乔
叶丽芳
SUN Jing;XU Xuxiusheng;ZHAO Sha;WANG Chenyu;LI Zhi;BAO Jinjing;CHEN Yuhua;LIU Su;ZHOU Xiqiao;YE Lifang(Nanjing University of Chinese Medicine,Jiangsu,Nanjing 210029,China;Department of Endocrinology,Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu,Nanjing 210029,China)
出处
《中国医药科学》
2023年第24期74-77,共4页
China Medicine And Pharmacy
基金
江苏省中医药科技发展计划项目(MS2021010)
江苏省卫生健康委科研项目(M2022053)
南京中医药大学自然科学基金项目(XZR2020010)。
关键词
土壅木郁
肥胖症
血脂异常
中医药
Earth-obstructing and wood-stagnation
Obesity
Dyslipidemia
T raditional Chinese medicine
