摘要
阻塞性睡眠呼吸暂停(OSA)合并2型糖尿病(T2DM)属于气血津液障碍,与“阳热怫郁-玄府闭塞-气液失运”密切相关。玄府为气血津液流通及神机运转的基本通路,因饮食、情志失调,内生诸邪,郁而化热,OSA合并T2DM患者处于“阳热怫郁”的病理状态,热郁气结则玄府郁闭,腠理闭塞,气液流通障碍,神机运转失利。针对OSA合并T2DM郁和热的病机特点,治疗应重视清、宣、透三法的运用,以宣透郁热、畅达玄府,使气液运转复常,神机得用,以解OSA合并T2DM“阳热怫郁”之态。
Obstructive sleep apnea(OSA)combined with type 2 diabetes mellitus(T2DM)belongs to disorders of qi,blood,and body fluids,which is closely related to the“excessive heat and congestion-obstruction of the sweatpore-failure of qi and fluid transportation”syndrome.The sweatpore is the basic pathway for the circulation of qi,blood,and body fluids as well as the operation of the spirit mechanism.Due to dietary and emotional imbalances,internal pathogenic factors accumulate and become hot,leading to OSA combined with T2DM in a pathological state of“excessive heat and congestion”.When heat accumulates and blocks the qi,the sweatpore becomes obstructed,the pores close,and the circulation of qi and fluids is disrupted,resulting in the failure of the operation of spirit mechanism.In response to the pathogenic mechanism of congestion and heat in OSA combined with T2DM,treatment should focus on the application of the three methods of clearing,promoting,and penetrating,in order to disperse the depressed heat and facilitate the operation of the sweatpore,restore the normal circu⁃lation of qi and fluids,and enable the operation of the spirit mechanism,thereby alleviating the state of“excessive heat and congestion”in OSA combined with T2DM.
作者
陈家祈
王丽
朴春丽
CHEN Jiaqi;WANG Li;PIAO Chunli(Endocrinology Department,Shenzhen Hospital(Futian)of Guangzhou University of Chinese Medicine,Shenzhen 518034,China)
出处
《山东中医杂志》
2026年第3期253-257,267,共6页
Shandong Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:82374380)
深圳市“医疗卫生三名工程”项目(编号:SZZYSM202202010)
深圳市福田区卫生健康系统科研项目(编号:FTWS2022036)
广东省基础与应用基础研究基金项目(编号:2023A1515220236)。
关键词
阻塞性睡眠呼吸暂停
2型糖尿病
阳热怫郁
玄府闭塞
气液失运
obstructive sleep apnea
type 2 diabetes mellitus
excessive heat and congestion
obstruction of the sweatpore
failure of qi and fluid transportation
