摘要
单纯性肥胖是指无内分泌紊乱及代谢障碍引起脂肪过度堆积的肥胖。“虚气留滞”是单纯性肥胖的重要病机,以脾胃亏虚之“虚气”为本,以湿、痰、瘀之“留滞”为标。主张以补虚通滞为治则,以健脾益胃为基础,辅以祛湿化浊、活血化痰为治法,方用参苓白术散合并胃苓汤加减,同时倡导改善不良饮食习惯和生活作息方式,以实现健康长效减肥的目标。文章以“虚气留滞”为理论基础,探讨单纯性肥胖的病机与治疗,丰富临床辨治角度,为中医药治疗单纯性肥胖提供新思路。
Simple obesity refers to obesity with excessive fat accumulation caused by endocrine disorders and metabolic disorders.'deficiency qi stagnation'is an important pathogenesis of simple obesity,which is based on'deficiency qi'of spleen and stomach deficiency and marked by'stagnation'of dampness,phlegm and blood stasis.It is advocated to take tonifying deficiency and dredging stagnation as the treatment principle,based on invigorating spleen and benefiting stomach,supplemented by dispelling dampness and resolving turbidity,promoting blood circulation and resolving phlegm as the treatment method.Shenling Baizhu Powder combined with Weiling Decoction is used.At the same time,it is advocated to improve bad eating habits and lifestyle to achieve the goal of healthy and long-term weight loss.Based on the theory of'deficiency and qi stagnation',this paper discusses the pathogenesis and treatment of simple obesity,and enriches the perspective of clinical diff erentiation and treatment,so as to provide new ideas for the treatment of simple obesity with traditional Chinese medicine.
作者
程冉
丁雷
CHENG Ran;DING Lei(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2025年第5期852-856,共5页
Clinical Journal of Traditional Chinese Medicine
基金
国家中医药管理局中医药重点学科-中医内分泌学(20091221)
2021年省医疗卫生重点专科建设项目-中医内分泌-优先发展项目(皖卫函〔2021〕273号)。
关键词
单纯性肥胖
虚气留滞
病因病机
中医药治疗
理论探讨
Simple obesity
Delayed Qi
Etiology and pathogenesis
Traditional Chinese medicine treatment
Theoretical discussion
