基于“脾肝散精，歸于權(quán)衡"探討2型糖尿病的辨治

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本文引用：黎柳，周彤藝，劉秀，劉熠，田娜，鄒俊駒，向琴，喻嶸.基于“脾肝散精，歸于權(quán)衡"探討2型糖尿病的辨治[J].湖南中醫(yī)藥大學學報，2025，45（5）：956-961.

[關(guān)鍵詞]2型糖尿病；脾肝散精；歸于權(quán)衡；腸道菌群；肝脾同治；醫(yī)案 [中圖分類號]R256 [文獻標志碼]A [文章編號]doi：10.3969/j.issn.1674-070X.2025.05.026

[Abstract]Originating from the Huang DiNei JING（Huangdi's Clasicof Medicine），the theoryof "spleenand liver disseminatingessence toachieveharmonious balance"aims torestorethefunctionof"spleenandliverdiseminatingesence."Its coremechanismiscloselylinkedtothehomeostasisofthegutmicrobiotainmodernmedicine.Inthepathogenesisoftype2 diabetesmelitus（T2DM）dysfunctional"spleenandliverdissminatingessence"andgutmicrobiotadysbiosisserveaspivotal pathologicalfoundations，formingaciticalpathologicalnexuswiththe"gutspleen-liver"xisdysfunction.Therefore，teoryof "spleenandliverdiseminatingessence toachieveharmoniousbalance"canbeappliedtothepaernidentificationandtreatment of T2DMBasedonthis，byleveragingthecharacteristicof"sametreatmentfordiferentdiseases"inChinesemedicine，thispaper has proposedtheuseof Jianzhong-typeformulas，Banxia Xiexin Decoctionandother formulas totonifyandregulate the spleenand stomach，therebyasistingthespleenindisseminatingessence.Aditionallfmulassuchasanggui ShaoaoPowderandChiu Guizhi GanjiangDecoctionareemploedtosimutaneouslytreattheliverandspleen，facilitatingtheliversroleindissmating esence.Thesemeasuresaimtorestorethehomeostasisofthgutmicrobiota，stabilizeblodglucoselevels，andcontrolthedisease progression， ultimately achieving a state of "harmonious balance"as described in the theory.

[Keywords]type2diabetesmelitus;；spleenandliverdisseminatingessence;toachieveharmoniousbalance;gut microbiota; simultaneously treating the liver and spleen;medical record

腸道菌群作為人體重要共生生態(tài)系統(tǒng)，已成為現(xiàn)代醫(yī)學與生命科學領(lǐng)域的研究焦點。（剩余9457字）