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基于《理虚元鉴》治虚理论探讨2型糖尿病合并恶性肿瘤的病机与防治

Exploring the Pathogenesis and Prevention of Type 2 Diabetes Mellitus Complicated with Malignant Tumors Based on the Theory of Treating Deficiency in Li Xu Yuan Jian
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摘要 《理虚元鉴》是由明代汪绮石先生所书的虚劳专著,其对虚劳病的防治进行了详细论述,提出“三本二统”治虚理念。“三本”即肺脾肾亏虚为虚劳发病之本,“二统”即虚劳治疗统之于肺脾,对辨治虚损疾病有切实的指导价值。2型糖尿病及恶性肿瘤均属慢性消耗性疾病,二者合病以“虚损”证候为主要表现,与肺、脾、肾关系尤为密切。由此本文基于“三本二统”理论及当代医家认识,深入探讨2型糖尿病与恶性肿瘤的相关性,阐释2型糖尿病合并恶性肿瘤的病因病机及治法用药,以期为临床防治2型糖尿病合并恶性肿瘤提供思路。 Li Xu Yuan Jian is a Ming Dynasty monograph on consumptive diseases written by Mr.Wang Qishi,which provides a detailed discussion on the prevention and treatment of consumptive diseases and proposes the concept of“Three Roots and Two Unifications”for treating deficiency:the“Three Roots”refer to the deficiency of the lung,spleen,and kidney as the fundamental causes of consumptive diseases,while the“Two Unifications”mean that the treatment of consumptive diseases should focus on the lung and spleen.This concept has practical guiding value for diagnosing and treating deficiency disorders.Both type 2 diabetes mellitus and malignant tumors are chronic wasting diseases.The comorbidity of these two diseases has“deficiency-consumption”syndromes as the main manifestations,and is particularly closely related to the lung,spleen and kidney.Therefore,based on the“Three Roots and Two Unifications”theory and the insights of contemporary physicians,this paper thoroughly explores the correlation between type 2 diabetes mellitus and malignant tumors,elucidates the etiology,pathogenesis,and treatment strategies for type 2 diabetes mellitus complicated with malignant tumors,aiming to provide insights for clinical prevention and treatment.
作者 陈元昊 高慧娟 谭丽 张晶晶 王威 冯兴中 CHEN Yuanhao;GAO Huijuan;TAN Li;ZHANG Jingjing;WANG Wei;FENG Xingzhong(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;Tsinghua University Yuquan Hospital,Tsinghua University Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100040,China)
出处 《中医药学报》 2025年第10期1-4,共4页 Acta Chinese Medicine and Pharmacology
基金 国家自然科学基金资助项目(82104812) 首都卫生发展科研专项(首发2022-2-4131) 北京市中医药科技发展资金项目(BJZYZD-2023-01)。
关键词 理虚元鉴 2型糖尿病 恶性肿瘤 肺脾肾虚 Li Xu Yuan Jian Type 2 diabetes mellitus Malignant tumor Lung-spleen-kidney deficiency
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