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肥胖症是一组常见的、古老的代谢性疾病,临床以中心性肥胖常见。由于青少年体质单纯,脏腑娇嫩,其病病机简单易变,或虚实夹杂,或寒热错杂,或表里同病,中医病机复杂多变,本文试阐述全国名老中医张西俭教授基于"气变理论"探讨青少年中心性肥胖的中医病机特点演变规律,并举例加以分析,以期为中医药治疗青少年中心性肥胖提供新的理论思路。
Abstract:Obesity is a group of common metabolic diseases. Central obesity is commonly seen in clinical practice. Due to the simple constitution of adolescents, their pathogenesis is simple and changeable, for there is a mixture of strength and weakness, or a mixture of cold and heat, and the pathogenesis of traditional Chinese medicine is complex and changeable as well. The pathogenesis of TCM pathogenesis of adolescent central obesity is analyzed with examples to provide new theoretical ideas for the treatment of obesity by Chinese medicine.
1 林果为,王吉耀,葛均波,等,实用内科学[M].北京:人民卫生出版社,2017:1.
2 张建,华琦.代谢综合征[M].北京:人民卫生出版社,2003:135.
3 廖二元,内分泌代谢病学[M].北京:人民卫生出版社,2016:1.
4 刘嫚,席波,王奇娟,等.1993-2009年7~18岁中国学龄儿童超重肥胖和腹型肥胖率变化趋势[J].中国儿童保健杂志,2012,20(2):117-119,123.
5 Eckel RH,Committee FN.Obesity and heart disease[J].J Chronic Dis,1985,1(4):456-461.
6 Gupta R,Agrawal A,Misra A,et al.Metabolic cardiovascular risk factors worsen continuously across the spectrum of body mass index in Asian Indians[J].Indian Heart J,64(3):236-244.
7 姜勇,张梅,李镒冲,等.2010年我国中心型肥胖流行状况及腰围分布特征分析[J].中国慢性病预防与控制,2013,21(3):288-291.
8 赵宇星,朱惠娟,王林杰.2016年美国临床内分泌医师学会/美国内分泌学会肥胖症综合管理临床实践指南解读[J].中国糖尿病杂志,2017,25(1) :10-13.
9 周仲瑛.中医内科学[M].北京:中国中医药出版社,2007.2.
10 李伟.中医理论阐释青少年肥胖的病机与防治[J].中国学校卫生,2017,38(11):1744-1746.
11 郑洪新.中医基础理论[M].北京:中国中医药出版社,2016:34.
12 张西俭.脉论脉案集[M].北京:人民卫生出版社,2017:30.
13 黄元御.黄元御医案集5,四圣心源[M].北京:人民卫生出版社,2014.4.
14 魏宏,沈涛.“阳化气,阴成形”理论对肥胖症的指导[J].湖南中医杂,2016,32(9):135-136.
15 马永刚.升降出入辨证及其脉诊[J].现代养生,2019,25(10):125-129.
16 常兴,张恬,隋雨言,等.脏腑气机升降理论的渊源探析[J].时珍国医国药,2018,32(6):264-266.
17 周梦玲,吴凤芝,韩晨霞,等.中医“通法”临床应用研究[J].现代中医临床,2016,23(6):55-58.
18 Shen C,Zhou Z,Lai S,et al.Urban-rural-specific trend in prevalence of general and central obesity,and association with hypertension in Chinese adults,aged 18-65 years[J].BMC Public Health,2019,19(1):661.
19 陆凤,张洁,何青芳,等.浙江省2型糖尿病高危人群流行现状分析[J].中华健康管理学杂志,2019,13(1):30-36.
20 Tanko A,Yuqian L,Haiqing Z,et al.Prevalence of impaired fasting glucose,type 2 diabetes and associated risk factors in undiagnosed Chinese rural population :the Henan Rural Cohort Study[J].BMJ Open,2019,9 (8):e029628.
21 Shin SS,Yoon M.Korean red ginseng (Panax ginseng) inhibits obesity and improves lipid metabolism in high fat diet-fed castrated mice[J].J Ethnopharmacol,2018,210 (9):80-87.
22 张艳涛,苟小军.儿童和青少年代谢综合征诊断和治疗的研究进展[J].国际儿科学杂志,2018,45 (5) :397-400.
23 Xiaoxian Jia,Qicai Chen,Peipei Wu,et al.Dynamic development of metabolic syndrome and its risk prediction in Chinese population:A longitudinal study using Markov model [J].Diabetol Metab Syndr,2018,10 (1) :24.
24 Gruzdeva OV,Borodkina AD,Akbasheva OE,et al.Influence of visceral obesity on the secretion of adipokines with epicardial adipocytes in patients with coronary heart disease[J].Terapevt Arkh,2018,90 (10) :71.
25 胡蓉,周桂凤,周建湘,等.2015年长沙市雨花区成人主要慢性病流行现状及影响因素分析[J].实用预防医学,2017,24(11):1349-1353.
26 Zhang HW,Jianzhong D ,Haoyong Y,et al.Incidence of cholelithiasis after laparoscopic Roux en Y gastric bypass for the treatment of type 2 diabetes mellitus with obesity[J].BMJ Open,2015,22 (7) :696-702.
27 马骁,路盈,陈乾华,等.肥胖与非肥胖阻塞性睡眠呼吸暂停低通气综合征患者心外膜脂肪厚度与疾病严重程度的关联研究[J].中国全科医学,2019,15(17):524-528.
28 Ian W.Seetho,John PH.Wilding.Obesity and obstructive sleep apnea syndrome :Pathogenesis,diagnosis,and treatment [M].Obesity,2019.
29 徐幽琼,张晓阳,叶友斌,等.社区老年人2型糖尿病合并高尿酸的检出率及影响因素[J].慢性病学杂志,2019,26(7):967-971.
30 董彩霞,格鹏飞,任晓岚,等.2013-2014年甘肃省成年人中心性肥胖流行特征[J].卫生研究,2019,14(3):388-394.
31 宿春竹,王玲姝.针灸治疗中心性肥胖并发胰岛素抵抗取穴规律[J].中医药临床杂志,2016,25(8):1091-1093.
32 刘彦辰.中年男性中心性肥胖中医证型分析[D].广州中医药大学,2009.
基本信息:
DOI:10.13210/j.cnki.jhmu.20200303.002
中图分类号:R272;R249
引用信息:
[1]刘计财,唐翠遥,陆思宇,等.全国名中医张西俭基于“气变理论”浅谈青少年中心性肥胖中医病机特点[J].海南医学院学报,2020,26(08):624-628+632.DOI:10.13210/j.cnki.jhmu.20200303.002.
基金信息:
国家重点研发计划任务书(2018YFC1704104); 重庆市卫生计生委中医药科技项目(ZY20172019)~~
2020-03-04
2020-03-04
2020-03-04