摘要：胰岛素抵抗(IR)作为多种代谢性疾病及心脑血管疾病的发病基础，其发病机制复杂，治疗也较为困难，已逐渐成为医学界关注的重点。中医认为本病主要的病因可以概括为先天不足、后天失调；病机总以阴虚为本、燥热为标，后逐渐发展为脾、肝、肾等诸脏亏虚；中医药治疗多从此病机入手，贯彻“治求其本”的原则辨证施治。许多研究表明中医药可以通过多种机制改善胰岛素抵抗，且有毒副作用少、安全性高等独特优势，故本文将从中医内治及中医外治两大方面综合论述近些年中医药改善胰岛素抵抗的研究进展，以期为临床治疗胰岛素抵抗提供新思路。

    关键词：胰岛素抵抗；消渴；中医药

    中图分类号：R587.1" " " " " " " " " " " " " " " " "文献标识码：A" " " " " " " " " " " " " " " " "DOI：10.3969/j.issn.1006-1959.2025.03.039

    文章编号：1006-1959(2025)03-0188-05

    Research Progress of Traditional Chinese Medicine in the Treatment of Insulin Resistance

    FANG Lingling1， ZHANG Rumian1， LIN Yuehong2， CAI Hong1， ZHANG Ting3

    (1.The First Department of Hepatology， Xiamen Hospital of Traditional Chinese Medicine Affiliated to Fujian University

    of Traditional Chinese Medicine/Xiamen Hospital of Traditional Chinese Medicine， Xiamen 361009， Fujian， China;

    2.Department of Hepatology， Xiamen Humanity Hospital， Xiamen 361016， Fujian， China;

    3.Department of Science and Education， Xiamen Hospital of Traditional Chinese Medicine Affiliated to Fujian University

    of Traditional Chinese Medicine/Xiamen Hospital of Traditional Chinese Medicine ......