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试从肝脾肺传变论糖尿病前期病机发展

岳亚鹏,陈燕清

Jiangsu Journal of Traditional Chinese Medicine（2021）

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Abstract
糖尿病前期是指血糖升高,但未达到糖尿病诊断标准的血糖调节异常阶段,可归属于中医学"脾瘅"范畴,其发生发展与肝、脾、肺三脏的生理功能和病理改变密切相关.糖尿病前期以脾虚为核心病机,肝脾肺三脏传变.肝郁不疏影响脾胃运化功能,脾虚中满而生内热,母病及子致肺气日损.据此,可将糖尿病前期分为肝郁脾虚和脾肺两虚两个阶段,健脾贯穿治疗的始终,按不同阶段分别治以疏肝健脾和健脾补肺.
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