首页|基于肝脾肾同调理论辨治痛性糖尿病周围神经病变思路

基于肝脾肾同调理论辨治痛性糖尿病周围神经病变思路

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痛性糖尿病周围神经病变(PDPN)是一种常见的糖尿病并发症.高思华教授认为其虽以疼痛为主要表现,仍以糖尿病为发病源流,蕴含着肝脾肾三脏同病,正虚邪实互见而出现的脉络失养、受损、痹阻等一系列过程.临证时应在中医整体观的指导下,动态看待脏腑间的相互联系和糖尿病及其并发症的关系,根据患者症状、舌、苔、脉的变化,及时调整用药思路,止痛的同时控制PDPN产生的根源,在平调肝脾肾三脏的基础上,视正虚邪实的性质有针对性地治疗疼痛,标本同治.
Ideas of differentiating and treating painful diabetic peripheral neuropathy by regulating the liver,spleen and kidney
Painful diabetic peripheral neuropathy is a common diabetic complication.Professor GAO Sihua proposes that although pain is the main manifestation,diabetes is still the source of the disease,which contains a series of processes such as the loss of nutrition,damage,and blockage of the venation due to the same disease of the liver,spleen and kidney,and the interaction between positive deficiency and evil.Under the guidance of the holistic view of traditional Chinese medicine,we should dynamically look at the relationship between the changes of the Zang-Fu organs and diabetes mellitus and its complications.Timely adjust the medication ideas according to the changes of the patient's symptoms,tongue,fur,pulse phase,and control the root causes of PDPN while relieving pain.On the basis of regulating the liver,spleen and kidney,we should treat pain according to the nature of the deficiency of the vital energy and the excess of the pathogenic energy,and treat the symptoms and root causes simultaneously.

Famous doctor's experienceGAO SihuaPainful diabetic peripheral neuropathyDiabetesRegulating the liver,spleen and kidneyTreatment ideas

张毅、赵丹丹、莫芳芳、吴瑞、高思华

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北京开放大学城市管理学院,北京 100081

北京中医药大学中医学院,北京 100029

中国中医科学院广安门医院南区,北京 102600

名医经验 高思华 痛性糖尿周围神经病变 糖尿病 肝脾肾同调 治疗思路

国家中医药领军人才支持计划岐黄学者项目国家自然科学基金

1040063321000582174329

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(6)
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