Professor TONG Xiaolin's Experience in Treating Prediabetes with Overweight and Obesity Using the Method of Relieving Depression and Reducing Turbidity
10.13288/j.11-2166/r.2025.14.003
- VernacularTitle:仝小林运用开郁降浊法论治糖尿病前期合并超重或肥胖经验
- Author:
Sicheng WANG
1
;
Yangyang LIU
2
;
Yan YAN
1
;
Zishan JIN
1
;
Boxun ZHANG
3
;
Qingwei LI
1
;
Xiaoxuan XU
2
;
Linhua ZHAO
1
;
1
Author Information
1. Guang'anmen Hospital，China Academy of Chinese Medical Sciences，Beijing，100053
2. The Affiliated Hospital of Changchun University of Chinese Medicine
3. Affiliated Hospital of Chengdu University of Traditional Chinese Medicine，
- Publication Type:Journal Article
- Keywords:
Prediabetes;
overweight;
obesity;
relieving depression and reducing turbidity;
Dahuang Huanglian Xiexin Decoction （大黄黄连泻心汤）;
famous doctors' experience;
TONG Xiaolin
- From:
Journal of Traditional Chinese Medicine
2025;66(14):1424-1427
- CountryChina
- Language:Chinese
-
Abstract:
To summarise the clinical experience of Professor TONG Xiaolin in treating prediabetes combined with overweight or obesity using the method of relieving depression and reducing turbidity. It is believed that prediabetes belongs to the category of "spleen-heat syndrome" in traditional Chinese medicine， and its core pathogenesis is center fullness with internal heat， while obesity is the initiating factor for exacerbating center fullness and internal heat， therefore， it is of great significance to reduce the risk of diabetes by interrupting the transformation between overweight， obesity and glucose metabolism abnormality. It is proposed that the main pathogenesis of prediabetes combined with overweight or obesity is qi depression and turbidity obstruction in middle jiao， with qi depression as the root and turbidity obstruction as the cause， forming a treatment idea with the method of relieving depression and reducing turbidity as the core. In clinic， Dahuang Huanglian Xiexin Decoction （大黄黄连泻心汤） is used as the basic prescription， with a primary focus on directing the turbid downward， supplemented by regulating qi， which embodies the concept of "promoting movement through descent， then figuring out the root of spleen-heat syndrome. Furthermore， the treatment is flexibly modified based on the patient's deficiency-excess syndrome to ensure individualized therapy.
