从肝论治消渴痹证  

Treatment of Consumptive Thirst Arthralgia from the Liver

作　　者：甘英 王保 鲁义 GAN Ying;WANG Bao;LU Yi(Department of Anesthesiology,Affiliated Hospital of Traditional Chinese Medicine of Guangzhou Medical University,Guangdong Province,Guangzhou 510130,China;Graduate School,Guangzhou Medical University,Guangdong Province,Guangzhou 511436,China)

机构地区：[1]广州医科大学附属中医医院麻醉科,广东广州510130 [2]广州医科大学研究生院,广东广州511436

出　　处：《光明中医》2024年第17期3590-3590,F0003,F0004,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：广东省自然科学基金面上项目(No.2023A1515011117);广州市科技计划项目(No.202201010712);广州医科大学附属中医医院重点项目(No.2020ZD04);广州医科大学科研能力提升计划。

摘　　要：消渴痹证是最常见的糖尿病微血管并发症,是足部溃疡和非创伤性截肢的主要危险因素。临床上常从肝辨证治疗,优化下肢神经传导速度,改善血糖、血脂水平及血液流变学状态,从而减轻麻木、疼痛等症状,安全有效。根据近5年的相关文献,从临床治疗现状和作用机制研究方面,论述从“肝”论治消渴痹证的研究进展,旨在为临床诊疗提供参考依据。Consumptive thirst arthralgia is the most common microvascular complication of diabetes and a major risk factor for foot ulceration and non-traumatic amputation.Clinical treatment is often based on liver differentiation,which can improve lower limb nerve conduction velocity,sugar and lipid levels in the blood and blood rheological status,relieve symptoms such as numbness and pain,which is safe and effective.According to the relevant literature in the past five years,this paper discussed the research progress of the treatment of consumptive thirst arthralgia from the"liver",consisting of current situation of clinical treatment and mechanism of action,in order to provide a reference for clinical diagnosis and treatment.

关 键 词：消渴痹证 糖尿病周围神经痛 肝 中医药疗法 

分 类 号：R255.4[医药卫生—中医内科学] R255.6[医药卫生—中医学]