Treating Prediabetes from the Perspective of"Excessive Earth Stagnation and Fivefold Heat Scorching"
10.16466/j.issn1005-5509.2025.06.019
- VernacularTitle:从"土壅太过,五热熏蒸"论治糖尿病前期
- Author:
Yue FAN
1
;
Jin QIN
1
;
Zirong LI
1
Author Information
1. 北京中医药大学东直门医院 北京 100700
- Publication Type:Journal Article
- Keywords:
prediabetes;
Pidan;
Dunfu;
spleen Qi;
excessive earth stagnation;
core pathogenesis;
middle-Jiao;
Xiaodan
- From:
Journal of Zhejiang Chinese Medical University
2025;49(6):786-790
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the etiology and pathological mechanisms of prediabetes based on the theory of"excessive earth stagnation,"thereby expanding novel therapeutic approaches for prediabetes management.[Methods]Integrating classical Chinese medical literature with contemporary clinical insights,this study elucidates the correlation between Dunfu(thickened stagnation)and excessive earth stagnation and its pivotal role in prediabetes pathogenesis,and proposes the therapeutic strategies.[Results]The Dunfu mechanism documented in The Inner Canon of the Yellow Emperor demonstrates significant correlation with the"spleen-earth stagnation"pathological state in prediabetes,which primarily disrupts the ascending-descending dynamic of Qi in middle-Jiao and contributes to glucose metabolism dysregulation.Dunfu(thickened stagnation)acts as a quintessential manifestation of excessive earth stagnation.When Dunfu develops,damp-heat pathogens accumulate,causing retention of food essence and further aggravating earth stagnation,the retained food and essence transforming into dampness,heat and phlegm.These turbid pathogens obstruct the middle-Jiao,impairing spleen function and Qi-blood flow,eventually generating heat that scorches the Zang-Fu organs.This progression from Pidan to Xiaodan underscores Dunfu as the root pathology.Treatment should prioritize resolving stagnation,clearing heat and eliminating turbidity,with tailored Zang-Fu syndrome differentiation to restore Beihua(preparation and transformation).[Conclusion]"Excessive earth stagnation"is the core pathological mechanisms of prediabetes,leading to retention of food essence and further aggravation earth stagnation,and the treatment should prioritize resolving stagnation.Treating prediabetes based on"excessive earth stagnation"has clinical guidance significance.
