张玉琴从络病论治糖尿病周围神经病变(消渴痹证)  

ZHANG Yuqin Differentiation From Disease To Diabetes Peripheral Neuropathy(Thirst Waste Paralytic Syndrome)

作　　者：陈霞[1] 

机构地区：[1]沈阳市第二中医医院呼吸科,沈阳110101

出　　处：《实用中医内科杂志》2015年第4期18-19,62,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：张玉琴教授认为糖尿病周围神经病变(消渴痹证)早期为气虚血瘀,痹阻脉络,后期则为痰瘀、湿瘀、阳虚寒凝、痹阻络脉,瘀血阻络贯穿糖尿病周围神经病变(消渴痹证)始终,故活血通络之法亦贯穿始终。初起以气虚血瘀、瘀血阻络为主,宜益气活血通络;晚期气血阴阳俱伤,气血逆乱,痰湿阻滞,寒凝血脉等,宜化痰温阳通络等。张玉琴教授喜用辛味药物如细辛、桂枝等温阳散寒、活血通络,还善用虫类药及藤类药以通络。除内治法,中药熏洗疗法调整气血、活血止痛,也可配合应用。Professor ZHANG Yuqin think diabetes peripheral neuropathy（Thirst waste paralytic syndrome） Early to Qi deficiency and blood stasis, paralysis resistance context as the main pathogenesis, Late with phlegm and blood stasis, wet stasis, Yang deficiency haemorrheological nature paralysis resistance collaterals as the main pathogenesis, Blood stasis resistance winding through diabetes peripheral neuropathy （Thirst waste Bi syndrome）,therefore, method of removing blood stasis and unblocking collaterals also throughout, Beginning with Qi deficiency and blood stasis, blood stasis resistance network mainly, promoting blood flow and dredging; Late Qi and blood, Yin and Yang arediminished, disordered Qi and blood, phlegm stagnation, haemorrheological nature veins etc,to phlegm wenyangtongluo etc;In addition to the conventional pungent drugs such am asarum sieboldi Mig,cassia twig drugs by warming Yang and cold dispelling, promoting blood circulation to remove meridian obstruction outside,also the use of insect drugs and rattan unblock-eollaterals drugs.In addition to internal therapy,traditional Chinese medicine fumigation therapy and adjust the blood, promotingblood circulation and relieving pain, also can cooperate to apply.

关 键 词：糖尿病周围神经病变 消渴痹证 痿证 络病 瘀血阻络 气虚血瘀 脉络痹阻 活血通络 张玉琴 老中医经验 中医药治疗 

分 类 号：R587.2[医药卫生—内分泌]