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黄祥武治疗糖尿病周围神经病变的临床经验

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糖尿病周围神经病变是临床常见的糖尿病并发症之一，其起病和发展非常隐秘，以感觉异常、感觉缺失、疼痛为主要特征，是一种由于代谢及微血管因素改变导致的神经病变。黄祥武主任医师认为其病因病机主要为中医消渴久治不愈，日久阴损及阳，脾阳虚衰，生化无力，气血不荣，推动无力，肾阳虚衰，阳气不足易外感寒邪之气，客于脉中，血液遇寒则凝;且阳气虚弱无力，血行不畅，不能到达四肢末端，则出现四肢温度下降，缺乏濡养故而发病，应以温补脾肾，活血化瘀为治法，并自拟温阳化瘀方治疗，临床中运用疗效甚可。
Huang Xiangwu's Clinical Experience in Treating Diabetes Peripheral Neuropathy
Diabetes peripheral neuropathy(DPN)is one of the common clinical complications of diabetes.Its onset and development are very secret.It is characterized by sensory abnormalities,sensory loss and pain.it is a neuropathy caused by changes in metabolism and microvascular factors.Chief Physician Huang Xiangwu believes that the etiology and pathogenesis of the disease are mainly due to chronic thirst quenching,yin and yang loss over time,kidney yang deficiency,deficiency of yang qi,and the external cold evil qi.The guest is in the pulse,and the blood coagulates when it encounters cold;In addition,Yang Qi is weak,blood circulation is not smooth,and it can not reach the end of the limbs,then the temperature of the four fingers drops,and the disease is caused by lack of nourishing.It should be treated by warming the kidney to help Yang,promoting blood circulation and removing blood stasis,and the self prepared formula for warming Yang and removing blood stasis is very effective in clinical application.

Diabetes peripheral neuropathyWarming Yang and removing blood stasisKidney asthenia and blood stasisYang asthenia and blood stasisHuang Xiangwu

郑少林、钟飞、蒋水波、李都、周健翔、郭婧、黄蔚

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荆州市中医医院,湖北 荆州 434000

糖尿病周围神经病变 温阳化瘀方 肾虚血瘀 阳虚血瘀 黄祥武

国家中医药管理局全国名老中医药专家传承工作室建设项目湖北省卫生健康委员会中医药科研面上项目

国中医药人教发[2013]47号ZY2021M104

2024

10.16458/j.cnki.1007-0893.2024.11.004

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子：0.692
ISSN：1007-0893
年,卷(期)：2024.34(11)