基于中医体质学浅谈痰湿体质高甘油三酯血症

A discussion on phlegm-dampness hypertriglyceridemia based on constitution of traditional Chinese medicine

关键词:  高甘油三酯血症  痰湿体质  体质基本原理  “三辨”诊疗模式

Key words:  hypertriglyceridemia  phlegm-damp constitution  the basic principles of constitution of traditional Chinese medicine  “three-direct diagnosis and treatment model”

摘要:

高甘油三酯血症是中国高脂人群中常见的血脂异常类型，是急性胰腺炎发生和加重的重要危险因素，因此在临床诊疗中应加以重视。中医体质学认为痰湿体质是1种由于水液内停、痰湿凝聚，以黏滞重浊为主要特征的体质状态。临床流行病学研究表明，痰湿体质是高甘油三酯血症发病最常见的危险体质，且两者在认知上与中医体质学基本原理有很多相通之处。禀赋遗传论、生命过程论、环境制约论是中医体质学的基本原理，是研究体质与疾病内在联系的出发点和理论基础。“辨体-辨病-辨证”诊疗模式是以体质、疾病、证候之间的内在联系为前提，以“体病相关”和“体质可调”理论为依据，是临床指导遣药组方的重要理论依据，而且临床上通过调体方药改善痰湿体质治疗高甘油三酯血症也确有疗效。文章一方面将基于中医体质学基本原理探讨痰湿体质与高甘油三酯血症的内在联系；另一方面将从“辨体-辨病-辨证”诊疗模式阐述痰湿体质高甘油三酯血症的中医诊疗思路，以期对痰湿体质高甘油三酯血症有更深入的了解。

Abstract:

Hypertriglyceridemia is a common type of dyslipidemia in our hyperlipidemic population and is an important risk factor for the development and exacerbation of acute pancreatitis，and therefore should be taken seriously in clinical practice. In Constitution of traditional Chinese medicine（TCM），phlegm-dampness is considered to be a physical condition characterized by stagnation and heavy turbidity due to internal stagnation of water and phlegm-dampness. Clinical epidemiological studies have shown that phlegm and dampness are the most common risk factors for the development of hypertriglyceridemia and that there are many cognitive similarities between the two and the basic principles of TCM constitutionality. The theory of genetic endowment，the theory of life processes and the theory of environmental constraints are the basic principles of TCM physiology，the starting point and theoretical basis for the study of the intrinsic connection between physique and disease. The “identification of the body-identification of the disease-identification of the evidence” diagnosis and treatment model is based on the premise that there is an intrinsic connection between the body，the disease and the evidence，and on the theory of “correlation between the body and the disease” and “adjustment of the body”，which is an important theoretical basis for clinical guidance in the dispensing of medicine and prescriptions. Research has shown that clinical treatment of hypertriglyceridemia by improving phlegm and dampness with body toning remedies is also effective. Therefore，this paper will discuss the intrinsic relationship between phlegm-dampness and hypertriglyceridemia based on the basic principles of TCM constitutionality. On the other hand，it will elaborate on the TCM diagnosis and treatment of phlegm-dampness hypertriglyceridemia based on the “identification of body-identification of disease-identification of evidence” treatment model，with a view to gaining a deeper understanding of phlegm-dampness hypertriglyceridemia.