从“气脉常通”理论探讨益气活血法治疗糖尿病周围神经病变  

Based on the theory of "Qi Pulse Constant Communication", the treatment of diabetic peripheral neuropathy by invigorating qi and activating blood was discussed

作　　者：杨宏丽 李春晖 郭馨蔓 袁名熠 李鸣镝[1] Yang Hongli;Li Chunhui;Guo Xinman;Yuan Mingyi;Li Mingdi(Endocrinology Department,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内分泌科,北京100053

出　　处：《国际中医中药杂志》2024年第2期147-150,共4页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81473464)。

摘　　要：糖尿病周围神经病变(DPN)为糖尿病常见慢性并发症, 可导致足部溃疡、坏疽, 严重者可导致截肢, 影响患者生活质量。DPN属中医"痹病""痿病"等范畴, 主要病机为气血阴阳亏虚, 痰浊瘀血痹阻脉络, 临床以气虚血瘀证多见。本文基于《黄帝内经》"气脉常通"理论, 提出DPN气虚血瘀证患者的治疗应以"益气活血、化瘀通痹"为原则, 使患者气脉通达, 延缓疾病进展, 为DPN的中医治疗提供参考。Diabetic peripheral neuropathy(DPN)is the common chronic complication of diabetes,which can lead to foot ulcers,gangrene,and amputation in severe cases,seriously affecting their quality of life.DPN belongs to the category of"arthralgia","hemorrhoids"and other categories of TCM,and the main pathogenesis is the deficiency of qi and blood,yin and yang,and the obstruction of the meridians by phlegm and stasis.Clinically,DPN is more common with qi deficiency and blood stasis syndrome.Based on the theory of"qi meridian constant communication"in the Huang Di Nei Jing,this article proposed that for patients with DPN with qi deficiency and blood stasis syndrome,the treatment should be based on the principle of"invigorating qi and activating blood circulation,dissolving stasis and arthralgia",so that the patients'qi meridian can be accessible,delay the disease progression,and provide reference for the TCM treatment of DPN.

关 键 词：糖尿病神经病变 气脉常通 气虚血瘀 益气活血 

分 类 号：R259[医药卫生—中西医结合]