徐云生从郁、浊、瘀、毒、虚论治糖脂代谢病经验介绍
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R249

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国家重点研发计划课题(2023YFC3606203);山东省泰山学者工程专项经费项目(ts201712097)


Introduction of XU Yunsheng's Experience in Treating Glucolipid Metabolic Disorders Based on Theory of Stagnation,Turbidity,Stasis,Toxin,and Deficiency
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    摘要:

    介绍徐云生教授从郁、浊、瘀、毒、虚论治糖脂代谢病的临床经验。徐云生教授认为,糖脂代谢 病为本虚标实之候,其病机枢要在于肝失疏泄、气化失司所致精微壅滞,提出郁-浊-瘀-毒-虚五态传变学说, 阐明肝用不及则三焦枢机不利,浊瘀互结终致络道损伤的动态演变。治疗以疏泄郁滞、分消浊毒为纲,融汇经 方配伍精髓,创分期论治体系。气郁阶段施调达枢机之法以复气化,浊蕴阶段取运脾化浊之剂以涤污秽,瘀毒 阶段用通络解毒之方以祛窠臼,虚损阶段投交通心肾之品以固真元。

    Abstract:

    Abstract: This article introduces Professor XU Yunsheng's clinical experience in treating glucolipid metabolic disorders(GLMD)based on the pathological states of stagnation,turbidity,stasis,toxin,and deficiency.Professor XU posits that GLMD manifests as deficiency in origin and excess in superficiality. Its core pathogenesis lies in the failure of liver to govern the free flow of qi and impaired qi transformation, leading to congestion and stagnation of essential nutrients. He proposes the five-state transmission theory(stagnation-turbidity-stasis-toxin-deficiency), elucidating the dynamic progression wherein liver dysfunction disrupts the triple energizer's pivotal mechanism, resulting in the binding of turbidity and stasis that ultimately damages collaterals. Treatment centers on dispersing stagnation and eliminating turbid-toxins,integrating the essence of classical formula design to establish a stage-specific therapeutic system. At qi-stagnation stage, the treatment is to regulate the pivotal mechanism to restore qi transformation. At turbidity-accumulation stage, the treatment is to use spleen-activating and turbidity-resolving medicinals to cleanse impurities. At stasis-toxin stage, the treatment is to apply collateral-unblocking and toxinremoving formulas to eliminate entrenched pathogens.At deficiency-consumption stage,the treatment is to administer heart-kidney harmonizing Chinese medicine to consolidate genuine qi.

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部帅,桑素珍,张家瑞,宋志聪,于剑波,指导:徐云生.徐云生从郁、浊、瘀、毒、虚论治糖脂代谢病经验介绍[J].新中医,2025,57(18):189-193

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  • 在线发布日期: 2025-09-25
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