[1]王奕萱,孙金旭,郭翔宇,等.基于“中满内热”病机理论探讨脾瘅防治策略[J].陕西中医,2025,46(12):1655-1658.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.014]
　WANG Yixuan,SUN Jinxu,GUO Xiangyu,et al.Based on the pathogenesis theory of “Middle Fullness And Internal Heat” prevention and treatment strategies for Pi Dan[J].,2025,46(12):1655-1658.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.014]
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基于“中满内热”病机理论探讨脾瘅防治策略

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年12期
页码:
1655-1658
栏目:
学术探讨
出版日期:
2025-12-05

文章信息/Info

Title:
Based on the pathogenesis theory of “Middle Fullness And Internal Heat” prevention and treatment strategies for Pi Dan
作者:
王奕萱1; 孙金旭1; 郭翔宇2; 江丹3
（1.北京中医药大学，北京 100029；2.北京中医药大学东方医院，北京 100078；3.英国哈拉姆研究院，英国 ）
Author(s):
WANG Yixuan1; SUN Jinxu1; GUO Xiangyu2; JIANG Dan3
（1.Beijing University of Chinese Medicine,Beijing 100029,China;2.Department of Endocrinology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China；3.Hallam Institute of TCM UK，United Kingdom）
关键词:
中满内热; 2型糖尿病; 消渴病; 脾瘅; 病机; 防治策略
Keywords:
“Middle Fullness and Internal Heat” theory; Type 2 diabetes mellitus; Xiao Ke disease; Pi Dan; Pathogenesis; Prevention and treatment strategies
分类号:
R 587.71
DOI:
DOI:10.3969/j.issn.1000-7369.2025.12.014
文献标志码:
A
摘要:
2型糖尿病（T2DM）已成为全球范围内的重大公共卫生问题，其防治对于减缓疾病进展和减少并发症具有重要意义。脾瘅是消渴病发展的一个阶段，其范围可涵盖从超重、肥胖、糖尿病前期、早期糖尿病，“中满内热”是脾瘅的核心病机。饮食不节导致脾胃运化失常，气机阻滞，痰湿内生，形成“中满”；久而久之气滞湿阻郁而化热，湿热阻滞于中焦，形成“内热”，最终形成“中满内热”之态。因此，清热化湿、疏通气机、健脾助运是脾瘅防治的关键。本研究旨在系统梳理“中满内热”病机理论的内涵与发展，分析该病机在脾瘅中的发生发展与演变，并基于“中满内热”提出相应的防治策略。“中满内热”理论为脾瘅的防治和干预提供了新的思路，具有重要的临床应用价值。未来应开展进一步的临床研究，验证其疗效，为消渴病的防治提供更有力的证据支持。
Abstract:
Type 2 diabetes mellitus (T2DM) has become a major global public health challenge,for which early prevention and intervention are crucial to slow disease progression and reduce complications.In traditional Chinese medicine (TCM),Pi Dan (spleen heat syndrome) represents a stage of Xiao Ke disease (wasting-thirst disorder,equivalent to diabetes in TCM),encompassing conditions from overweight or obesity to prediabetes and early diabetes.The core pathogenesis of Pi Dan is “Middle Fullness and Internal Heat” (Zhong Man Nei Re),characterized by dietary irregularities impairing spleen-stomach transportation,leading to qi stagnation and internal dampness (Middle Fullness).Prolonged stagnation transforms into heat,resulting in damp-heat obstructing the middle jiao (Internal Heat).Thus,clearing heat,resolving dampness,regulating qi movement,and fortifying spleen function are key to preventing and treating Pi Dan.This study systematically examines the connotation and evolution of the “Middle Fullness and Internal Heat” theory,analyzes its role in Pi Dan,and proposes corresponding prevention and treatment strategies.This theory provides a novel approach for T2DM management with significant clinical value.Future clinical studies should validate its efficacy to strengthen the evidence base for Xiao Ke disease prevention.

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备注/Memo

备注/Memo:
国家自然科学基金资助面上项目（82174351）
更新日期/Last Update: 2025-12-08