仝小林教授从络病论治糖尿病周围神经病变  

Treating DPN Based on Collateral Diseases by Professor TONG Xiaolin

作　　者：张海宇 刘文科[1] ZHANG Haiyu;LIU Wenke(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中医药学报》2022年第8期36-39,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家中医药管理局中医药行业科研专项(201507001-11);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015243)。

摘　　要：糖尿病周围神经病变是糖尿病最常见的慢性并发症之一,仝小林教授将其归为“糖络病”范畴,认为糖尿病周围神经病变属于糖尿病“虚、损”阶段,其或起于“消瘅”,或源于“脾瘅”,最终导致络脉瘀损而出现周围神经病变。依据络病程度分期,即早期络滞,中期络瘀,晚期络闭、络损,期下分证。治当整体调态,全程治络,辨证选方,随症加减。Diabetic peripheral neuropathy(DPN)is one of the most common chronic complications of diabetes mellitus(DM).Professor TONG Xiaolin classified DPN as‘blood glucose collateral disease’and thought it was in the‘deficiency and damage’stage of DM.It may originate from‘Xiao Dan’or‘Pi Dan’,which eventually leads to peripheral neuropathy due to collateral stasis.According to the degree of collateral disease,DPN is divided into early collateral stasis,mid-term collateral stasis,late collateral closure and collateral damage,which guides syndrome differentiation by stages.The treatment of DPN should be adjusted as a whole,treat the collateral throughout the whole process,select the prescription based on syndrome differentiation and modify the prescription according to clinical symptoms.

关 键 词：糖尿病周围神经病变 络病 分期辨证 仝小林 

分 类 号：R249[医药卫生—中医临床基础]