《医林改错》瘀血思想在糖尿病周围神经病变中的应用  

Application of the Idea of “Yilin Correction” Blood Stasis in Diabetic Peripheral Neuropathy

作　　者：陈伟杰 樊蓉 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨

出　　处：《中医学》2024年第5期1091-1096,共6页Traditional Chinese Medicine

摘　　要：糖尿病周围神经病变(diabetic pediatric neuropathy, DPN)是糖尿病常见的慢性并发症之一,其发病机制复杂,临床表现多样,周围神经病变往往会影响微小血管形成瘀血。本文从《医林改错》行气活血化瘀的角度出发,探讨DPN的病因病机,认为其属本虚标实、虚实夹杂;瘀血阻滞在络脉、脏腑、经络。分析其治疗DPN的方药组合特点,为益气行气、温阳通络。同时结合《医林改错》中对中药复方配伍特点,为临床治疗糖尿病周围神经病变提高疗效。Diabetic pediatric neuropathy (DPN) is one of the common chronic complications of diabetes. Its pathogenesis is complex and its clinical manifestations are diverse. Peripheral neuropathy often affects the formation of small blood vessels and blood stasis. This paper discusses the etiology and pathogenesis of DPN from the perspective of promoting qi and blood circulation to remove blood stasis in “Yilin Correction”. Blood stasis blocks the choroid, zang-fu, meridians. The combination characteristics of DPN were analyzed, which were supplementing Qi and promoting qi, warming Yang and clearing collaterality. At the same time, combining with the compatibility characteristics of traditional Chinese medicine compound in “Yilin Correction”, it can improve the therapeutic effect of clinical treatment of diabetic peripheral neuropathy.

关 键 词：糖尿病周围神经病变 王清任 瘀血 

分 类 号：R58[医药卫生—内分泌]