基于血脉辨证理论探讨原发性下肢深静脉瓣膜功能不全的辨治思路  

Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation

作　　者：郑佩勳 赵欣 闫英 ZHENG Peixun;ZHAO Xin;YAN Ying(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital,Beijing University of Chinese Medicine;Third Affiliated Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院 [3]北京中医药大学第三附属医院

出　　处：《现代中医临床》2023年第4期58-61,共4页Modern Chinese Clinical Medicine

基　　金：第六批全国老中医药专家学术经验继承工作项目(No.201706015)。

摘　　要：原发性下肢深静脉瓣膜功能不全(PDVI)主要指无深静脉血栓形成的下肢深静脉瓣膜关闭不全,出现深静脉血液倒流至膝盖以下乃至踝部静脉的病理改变,从而引起一系列静脉淤滞症状的病症。根据PDVI的临床表现及特点,可归属于中医“水肿”范畴。从血脉辨证理论内涵、奇恒之腑脉、脉之营卫二气、脉内津血等方面阐释血脉辨证理论,PDVI基本病机为脉络气虚为本、湿瘀阻滞为标,以益气利湿、养血通脉作为治疗PDVI的基本治法。结合临床病案对PDVI的辨证治疗思路进行介绍。Primary deep venous insufficiency(PDVI)refers to venous valvular incompetence in the lower limbs without the presence of deep vein thrombosis,which leads to deep venous blood flowing backwards into the veins below the knee and even to the ankle,thus causing a series of venous stagnation symptoms.Based on the clinical manifestations and characteristics of PDVI,it can be classified as“edema”in traditional Chinese medicine(TCM).The blood-vessel syndrome differentiation theory explains the disease using vessels,which is one of the extraordinary fu organs,and the ying qi,wei qi,liquids and blood vessels inside and outside vessles.The basic pathogenesis of PDVI can thus be regarded as the deficiency of qi in the vessels,which is the root of the disease,and the obstruction caused by dampness and stasis as the symptoms.Therefore,the basic treatment method for PDVI is to boost qi and drain dampness,nourish blood and unblock vessels.This study provides some ideas for pattern differentiation and treatment of PDVI together with several clinical cases.

关 键 词：原发性下肢深静脉瓣膜功能不全 血脉辨证 中医 

分 类 号：R259[医药卫生—中西医结合]