| 657 | 18 | 102 |
| 下载次数 | 被引频次 | 阅读次数 |
“一气周流”是指人体之气的运转以中焦脾土为枢纽，脾胃之气升降斡旋，肝、心之气随之左升，肺、肾之气随之右降，如此形成一个完整的如环无端的循环。脾虚土壅，气血津液输布失常致痰湿内生是2型糖尿病（T2DM）合并肥胖的重要病机。腹部推拿能通腹经，健脾胃以复中土；调腹脏，助运化以畅气机；祛腹浊，除痰湿以通郁滞。因此，腹部推拿有利于恢复人体“一气周流”，可用于治疗脾虚痰湿型T2DM合并肥胖。
Abstract：The term “circular flow of qi” refers to the flow of the qi in the human body with the spleen(earth) in the middle Jiao as the pivot,the qi of the spleen and stomach rising and falling,and then the qi of the liver and heart following it to rise in the left,while the qi of the lungs and kidneys following it to fall in the right,thus forming a complete cycle like a ring. Spleen deficiency and earth stagnation which resulting in abnormality in transmission and distribution of qi,blood and body fluid and then causing internal generation of phlegm and dampness is an important pathogenesis of obese type 2 diabetes mellitus(T2DM).Abdominal massage has the following effects:dredging abdominal meridians,strengthening the spleen and stomach to restore the middle earth;regulating the abdominal viscera,benefiting transportation to smooth the qi movement;dispelling abdominal turbidity,removing phlegm-dampness to relieve the stagnation.Therefore,abdominal massage can help to restore the “circular flow of qi” in the human body and can be used to treat obese T2DM with spleen deficiency and phlegm dampness syndrome.
[1]李敬敬，骆杰伟.基于黄元御“培中气、重升降”思想探讨小儿疳证诊治[J].中华中医药杂志，2018,33(8):3436-3437.
[2]徐媛颖，王琪，陈琳，等.中医药治疗2型糖尿病合并肥胖的研究进展[J].世界中医药，2022,17(19):2824-2828.
[3] GU Y Q,HU K R,HUANG Y H,et al. White blood cells count as an indicator to identify whether obesity leads to increased risk of type 2 diabetes[J]. Diabetes Res Clin Pract,2018(141):140-147.
[4]中华医学会内分泌学分会.中国2型糖尿病合并肥胖综合管理专家共识[J].中华内分泌代谢杂志，2016,32(8):623-627.
[5]杨帆，李康，杨颖，等.生物电阻抗法测量的内脏脂肪面积与性别年龄及代谢性因素的相关性分析[J].中国介入心脏病学杂志，2016,24(3):134-141.
[6]徐艺文，朱惠娟.内脏脂肪的测定及临床应用进展[J].医学综述，2016,22(13):2575-2578.
[7]刘志梅，肖长国.《四圣心源》“一气周流”理论探讨[J].山东中医杂志，2011,30(6):365-366.
[8]魏晓敏，廖露，胡志鹏，等.从“一气周流”理论探析糖尿病血糖波动[J].中医杂志，2020,61(16):1463-1465.
[9]李文瑞.伤寒派腹诊[M].北京：学苑出版社，2010:32.
[10]张欣，尚坤，吴兴全，等.腹部推拿对高脂饮食诱发肥胖大鼠胰岛素抵抗的改善作用机制[J].中华中医药杂志，2021,36(2):728-731.
[11]孔心甜，谢舟煜，徐景崧，等.摩腹对2型糖尿病大鼠胰岛素抵抗和胰腺GLP-1r的影响[J].时珍国医国药，2021,32(4):998-1000.
[12] BAYRAKCI TUNAY V,AKBAYRAK T,BAKAR Y,et al.Effects of mechanical massage,manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite[J]. J Eur Acad Dermatol Venereol,2010,24(2):138-142.
[13]王先滨，王之虹.长白山通经调脏推拿法治疗消渴理论探析[J].中医药学报，2017,45(3):54-55.
[14]林敏.《临证指南医案》络病辨治规律研究[D].福州：福建中医药大学，2017.
[15]白煜，白宇宁，连凤梅.仝小林辨治肥胖型2型糖尿病脂代谢紊乱临证思路[J].中华中医药杂志，2017,32(3):1114-1116.
[16] CANFORA E E,MEEX R C R,VENEMA K,et al. Gut microbial metabolites in obesity,NAFLD and T2DM[J].Nat Rev Endocrinol,2019,15(5):261-273.
[17] PAOLILLO F R,CAMPOS T Y T B,ALVAREZ C,et al.Synergic effects of ultrasound and laser therapies on mesentery for management of obesity and diabetes in rats[J]. J Biophotonics,2021,14(11):e202100109.
[18] GOMES A C,HOFFMANN C,MOTA J F. The human gut microbiota:metabolism and perspective in obesity[J].Gut Microbes,2018,9(4):308-325.
[19] SEREK P,OLEKSY-WAWRZYNIAK M. The effect of bacterial infections,probiotics and zonulin on intestinal barrier integrity[J]. Int J Mol Sci,2021,22(21):11359.
[20]程艳彬，房敏，朱清广，等．推拿相关感受器转导与传入机制初探[J].中华中医药杂志，2014,29(7):2133-2136.
[21] GROHMANN M,FOULSTONE E,WELSH G,et al. Isolation and validation of human prepubertal skeletal muscle cells:maturation and metabolic effects of IGF-I,IGFBP-3 and TNFalpha[J]. J Physiol,2005,568(1):229-242.
[22]袁港，宋柏林.运腹降浊推拿法联合小陷胸汤治疗2型糖尿病肥胖[J].吉林中医药，2021,41(8):1105-1108.
[23]冯伟.摩腹法对2型糖尿病大鼠胰腺IL-1β、Caspase-3及Bcl-2表达的影响[J].按摩与康复医学，2019,10(13):47-49.
[24]国生，王康，董笑克，等.振腹干预糖尿病前期患者32例临床疗效观察[J].中华中医药杂志，2019,34(2):861-864.
[25]高天姣，马德慧，韩怡然，等.基于SIRT1/PGC-1α通路探讨腹部推拿对肥胖2型糖尿病模型大鼠抗炎作用机制研究[J].时珍国医国药，2021,32(8):2028-2030.
基本信息:
DOI：10.16295/j.cnki.0257-358x.2023.11.012
中图分类号:R244.1
引用信息:
[1]陈丽丽,丛德毓,楚云杰,等.从“一气周流”探讨腹部推拿在脾虚痰湿型2型糖尿病合并肥胖治疗中的应用[J].山东中医杂志,2023,42(11):1203-1206.DOI:10.16295/j.cnki.0257-358x.2023.11.012.
基金信息:
国家重点研发计划项目（编号：2019YFC1709904）; 吉林省科技发展计划项目（编号：20200403124SF）; 吉林省教育厅项目（编号：JJKH20210959KJ）; 吉林省博士后科研人员择优资助项目（批文号：吉财社指[2020]498号）
2023-11-05
2023-11-05