首页|基于络病理论探讨痛性糖尿病周围神经病变的中医诊疗思路

基于络病理论探讨痛性糖尿病周围神经病变的中医诊疗思路

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随着人类社会的发展,糖尿病患者人数日益增多,糖尿病相关并发症的发病率亦随之上涨,其中致残率最高的痛性糖尿病性周围神经病变约占糖尿病人群的 1/3.痛性糖尿病性周围神经病变在临床上以疼痛为主要表现,严重影响了患者的生活质量和血糖水平,同时其疼痛症状也会因生活质量或血糖控制欠佳而加剧.因此,干预痛性糖尿病性周围神经病变以缓解疼痛、提高疗效是糖尿病患者临床治疗上亟待解决的问题.目前痛性糖尿病性周围神经病变仍是一种诊断不足、治疗不足的疾病,近年来研究发现,中医络病理论在防治痛性糖尿病性周围神经病变方面具有独特优势,早在清代叶天士就在《临证指南医案》中提出"久痛入络"、"络中气血阻滞不通,必卒然而痛"、"络以辛为泄,以通为用"等理论.后人将其理论思想继承创新、临床应用日趋成熟.该文拟基于络病理论探讨中医"络以辛为泄"理论在痛性糖尿病性周围神经病变中的应用,分析其疗效及优势,为临床相关诊疗提供一定的借鉴思路.
TCM Diagnosis and Treatment of Painful Diabetes Peripheral Neuropathy based on Collateral Disease Theory
With the development of human society,the number of diabetic patients is increasing day by day,and the incidence of diabetes-related complications is also rising.Among them,painful diabetic peripheral neuropathy,which has the highest disability rate,accounts for about 1/3 of the diabetic population.The main clinical manifestation of painful diabetic peripheral neuropathy is pain,which seriously affects the patient's quality of life and blood sugar lev-els.At the same time,the pain symptoms are also aggravated by poor quality of life or poor blood sugar control.There-fore,intervening in painful diabetic peripheral neuropathy to relieve pain and improve efficacy is an urgent problem to be solved in the clinical treatment of diabetic patients.At present,painful diabetic peripheral neuropathy is still an under-diagnosed and under-treated disease.In recent years,studies have found that the theory of collateral disease in traditional Chinese medicine has unique advantages in preventing and treating painful diabetic peripheral neuropathy.As early as the Qing Dynasty,Ye Tianshi The"Clinical Guidelines for Medical Records"put forward the theories of"long-term pain entering the collaterals","the blockage of Qi and blood in the collaterals will lead to death but pain",and"the pungency in the collaterals is used to release it,and the channeling is used to relieve it"and other theories.Later generations inherited and innovated his theoretical ideas,and their clinical applications became increasingly ma-ture.Based on the theory of collateral disease,this article intends to explore the application of the traditional Chinese medicine theory of"collaterals release pungent elements"in painful diabetic peripheral neuropathy,analyze its efficacy and advantages,and provide certain reference ideas for clinical diagnosis and treatment.

Painful diabetic peripheral neuropathyPungent dredging methodTreatment

张馨心、冷锦红

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辽宁中医药大学 辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁省中医院 辽宁沈阳 110032

痛性糖尿病周围神经病变 辛味通络法 治疗

沈阳市科技计划项目

22-321-33-39

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(1)
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