基于能量代谢对中医虚实证的思考

[关键词］能量代谢；虚实证候；气化理论；代谢组学

[中图分类号］R241.3 [文献标志码］A [文章编号]0256-7415（2025）17-0154-04

DOI:10.13457/j.cnki.jncm.2025.17.028

Thoughts on Chinese Medicine Deficiency and Excess Syndromes Based on Energy Metabolism

ZHANGKaiyuan，JIEZichen，XIANGCuitian，MAIYunle

TheSecond ClinicalMedical ScholofGuangzhou Universityof Chinese Medicine，Guangzhou Guangdong 510405，Chi

Abstract:Energy metabolism isone of the fundamental characteristics of lifeactivities and plays acrucial role in maintaining healthy lifeactivitiesas well as in theoccurrence anddevelopmentof diseases.Deficiency and excess syndromes are important components of the eight-principle syndrome differentiation and treatment system in Chinese medicine.Currently，theunderstanding andapplicationof these theoriesarestill guided bybasic philosophical concepts.From the perspective of modern scientific theories on energy metabolism，it is believed that the key to he differences between deficiencyand excess syndromes lies in the abundance of subtle nutrients.The process of "qi transformation"drives theflow of these subtle nutrients，resulting in energymetabolism processes.Therefore, deficiency and excesssyndromes can be seen as manifestations of abnormal energy metabolism processes.Energy metabolism can thus be used asan entry point for studying Chinese medicinedeficiency and excess syndromes，guiding the integrated treatment of diseases with both Chinese medicine and western medicine.

Keywords:Energy metabolism；Deficiency and excesssyndromes；Qitransformation theory；Metabolomics

中医理论体系的架构主要基于整体观念和辨证论治。（剩余6727字）