Exploration of Zhu Danxi's qi‑blood theory in treating "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension from perspective of comorbidity

LIU Yuhan; YANG Kongming; WANG Qin; ZHANG Nan; ZHANG Xixu; YANG Xiao; YIN Yuanping

doi:10.16305/j.1007-1334.2026.z20250320003

您当前的位置：

首页 >

文章列表页 >

Exploration of Zhu Danxi's qi‑blood theory in treating "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension from perspective of comorbidity

更新时间：2026-06-04

- Exploration of Zhu Danxi's qi‑blood theory in treating "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension from perspective of comorbidity
- Shanghai Journal of Traditional Chinese Medicine Vol. 60, Issue 6, Pages: 47-51(2026)
- 作者机构：
  
  1.辽宁中医药大学（辽宁沈阳 110847）
  2.辽宁中医药大学附属第二医院（辽宁沈阳 110034）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2026.z20250320003
  CLC：
- Received：20 March 2025，
  
  Published：10 June 2026
- 稿件说明：
移动端阅览
刘禹涵,杨孔铭,王琴,等.共病视域下朱丹溪气血观对糖尿病合并高血压“阴伤湿聚”施治求索[J].上海中医药杂志,2026,60(6):47-51.

LIU Yuhan,YANG Kongming,WANG Qin,et al.Exploration of Zhu Danxi's qi‑blood theory in treating "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension from perspective of comorbidity[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(6):47-51.
刘禹涵,杨孔铭,王琴,等.共病视域下朱丹溪气血观对糖尿病合并高血压“阴伤湿聚”施治求索[J].上海中医药杂志,2026,60(6):47-51. DOI： 10.16305/j.1007-1334.2026.z20250320003.

LIU Yuhan,YANG Kongming,WANG Qin,et al.Exploration of Zhu Danxi's qi‑blood theory in treating "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension from perspective of comorbidity[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(6):47-51. DOI： 10.16305/j.1007-1334.2026.z20250320003.

摘要

以朱丹溪气血观为理论框架，聚焦糖尿病合并高血压“阴伤湿聚”这一病机，分析其动态演变规律，提出“阴生于脾，藏于肾，用于肝；湿源于脾，化于肾，疏于肝”的学术观点，强调肝、脾、肾同治，自拟消渴基本方调肝益肾、和中理气、滋阴祛湿，疗效满意，为代谢性共病的中医辨治提供新思路。并附验案1则。

Abstract

Based on Zhu Danxi's qi-blood theory， and focusing on the pathogenesis of "yin deficiency with dampness accumulation" in diabetes mellitus complicated by hypertension， this paper analyzes its dynamic progression. The academic viewpoint is proposed that "yin is generated in the spleen， stored in the kidneys， and used by the liver； dampness originates in the spleen， transforms in the kidneys， and is dispersed by the liver." Emphasizing the simultaneous treatment of the liver， spleen， and kidneys， a self-formulated Xiaoke basic prescription for diabetes is used to regulate the liver and benefit the kidneys， harmonize the middle to regulate qi， nourish yin and expel dampness. Satisfactory clinical efficacy has been achieved， providing a new perspective for syndrome differentiation and treatment of metabolic comorbidities in traditional Chinese medicine. A clinical case is presented for reference.

关键词

Keywords

references

北京高血压防治协会，中国老年学和老年医学学会，北京市社区卫生协会，等 . 成人高血压合并2型糖尿病和血脂异常基层防治中国专家共识（2024年版）［J］. 中国全科医学， 2024 ， 10 （ 27 ）： 3453 - 3475 .

TECK J . Diabetes-associated comorbidities ［J］. Prim Care ， 2022 ， 49 （ 2 ）： 275 - 286 .

高宁，盛丹，唐绍琰，等 . 2型糖尿病患者常见慢性病共存状态模式的现况研究［J］. 中华疾病控制杂志， 2025 ， 29 （ 2 ）： 152 - 157 .

LANGENBERG C ， HINGORANI A D ， WHITTY C . Biological and functional multimorbidity-from mechanisms to management ［J］. Nat Med ， 2023 ， 29 （ 7 ）： 1649 - 1657 .

王梓仪，范星宇，贾裕智，等 . 基于中西医临床病症特点的2型糖尿病合并高血压动物模型分析［J］. 中国实验方剂学杂志， 2025 ， 31 （ 7 ）： 230 - 236 .

曾文宝，康静，贺文超，等 . 2型糖尿病合并高血压患者发生脑血管事件风险的巢式病例对照研究［J］. 兰州大学学报（医学版）， 2025 ， 51 （ 2 ）： 10 - 16 .

金婷婷，刘巧，陈欢 . 中医药防治老年人共病的特色优势与实践路径［J］. 中医药管理杂志， 2024 ， 32 （ 13 ）： 99 - 101 .

中华中医药学会糖尿病分会 . 糖尿病合并高血压中医诊疗标准［J］. 世界中西医结合杂志， 2011 ， 6 （ 7 ）： 638 - 644 .

谢榆，钱先，鲁璐 . 金实从脾瘅论治糖尿病经验［J］. 上海中医药杂志， 2019 ， 53 （ 9 ）： 27 - 28 .

王仁和，杨宇峰，石岩 . 朱丹溪论治消渴理论框架研究［J］. 时珍国医国药， 2018 ， 29 （ 1 ）： 139 - 140 .

刘瑞，鲍艳举，花宝金 . “金元四家”对气机升降理论的认识［J］. 辽宁中医杂志， 2014 ， 41 （ 2 ）： 241 - 242 .

王乐，张耀夫，赵进喜，等 . 基于“三位一体”诊疗模式论治糖尿病合并高血压病经验［J］. 中华中医药杂志， 2024 ， 39 （ 8 ）： 4156 - 4159 .

徐佩英，陆灏，姚政 . 丁学屏治疗糖尿病经验［J］. 上海中医药杂志， 2006 ， 40 （ 6 ）： 5 - 7 .

尹瑞阳，王昭博，张艳娇，等 . 仝小林运用黄连治疗2型糖尿病苦味评分及疗效分层分析［J］. 吉林中医药， 2025 ， 45 （ 7 ）： 805 - 809 .

周源 . 黄连降糖作用在糖尿病治疗中的应用与思考［D］. 北京：北京中医药大学， 2011 .

苗明三，谢逸轩 . 论精准医学视角下的“精准中药” ［J］. 上海中医药杂志， 2023 ， 57 （ 5 ）： 31 - 36 .

Views

下载量

CSCD

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

Wang Qingqi's experience in treating spleen and stomach diseases by using "activating yang method"

Research progress on mechanisms of aryl hydrocarbon receptor in atopic dermatitis and integrated traditional Chinese and Western medicine intervention

Differentiation and treatment for autoimmune gastritis based on theory of "spleen as the defensive barrier"

Randomized， double‑blind， double‑dummy clinical study of Shaodi Xiegan Granules in treatment of progressive psoriasis vulgaris with emotional comorbidities

Meta‑analysis of clinical efficacy of traditional Chinese medicine combined with flunarizine in treatment of vestibular migraine

Related Author

YE Xinze

XUE Hui

Lu Bingxuan

Wu Xiujuan

Jiang Miao

Chen Foling

Cao Xiyuan

Li Jiwei

Related Institution

School of Traditional Chinese Medicine， Shanghai University of Traditional Chinese Medicine

Department of Dermatology， Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Department of Dermatology， Shanghai Xuhui District Central Hospital

Department of Dermatology， Tongji Hospital Affiliated to Tongji University

School of Clinical Medicine， Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

⁰