糖代谢在月经病寒证证候研究中的意义.docVIP

糖代谢在月经病寒证证候研究中的意义 　　[摘要] 寒证为八纲之一，而月经病寒证是临床较为多见的病证之一，其主要病因为感受寒邪。目前对月经病寒证发生机制的研究多集中于盆腔微循环、能量代谢、免疫功能等系统，糖代谢是能量代谢的核心组成部分，已有研究证实，寒冷刺激下会引起糖代谢的异常，而胰岛素的主要信号通路PI3K-Akt通路参与了糖代谢的病理生理机制。本文通过总结月经病寒证的生物学机制，分析糖代谢及PI3K-Akt通路在其中的作用，希望对今后的研究提供新思路。 　　[关键词] 月经病；寒证；糖代谢；PI3K-Akt 　　[中图分类号] R271.11 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0066-04 　　Research on the glucose metabolism in menopathy with cold syndrome 　　XU Dingjie1 XU Hong2 DONG Yushan1 DU Chenguang1 CAO Ying1 BAI Sufen1 LIU Yuejuan1 DU Huilan3 　　1.College of Traditional Chinese Medicine， North China University of Science and Technology， Hebei Province， Tangshan 063000， China； 2.Research Center of Medical Experiment， North China University of Science and Technology， Hebei Province， Tangshan 063000， China； 3.College of Integrated Traditional Chinese and Western Medicine， Hebei University of Chinese Medicine， Hebei Province， Shijiazhuang 050091， China 　　[Abstract] Cold syndrome is one of the eight principal syndromes， and menopathy with cold syndrome is more common in clinic， its main pathogenesis is feeling cold. The researches on the mechanism of menopathy with cold syndrome are mainly focused on pelvic microcirculation， energy metabolism and immune function at present. Glucose metabolism is the core component of energy metabolism. It has been confirmed that the cold stimulation can cause abnormal glucose metabolism. PI3K-Akt pathway is the main insulin signal pathway involved in glucose metabolism of path physiological mechanisms. This paper summarizes the biological mechanism of menopathy with cold syndrome， analyzes the role of glucose metabolism and PI3K-Akt pathway in them， so as to provide new ideas for future research. 　　[Key words] Menopathy； Cold syndrome； Glucose metabolism； PI3K-Akt 　　寒证是指感受寒邪或阳虚阴盛，机体的功能活动衰减所形成的病证，而月经病寒证是临床较为多见的病证之一。既往流调学显示：育龄女性36.63%属月经病寒证[1]。“妇人以血为本”，女性的“经、孕、产、乳”生理特点均以血为物质基础。寒属阴邪，性主收引、凝滞，易与血搏结，致冲任瘀阻为患；寒客冲任、胞宫，致经脉拘挛，血行瘀滞，“不通则痛”，则发痛经；或冲任、胞脉被阻，胞宫不能按时满盈，致月经后期、闭经、不孕等病[2]。早在《妇人大全良方》记载：“风冷伤经血，血