| 孔梦梦,黄平.从“血痹”论治糖尿病周围神经病变的临证经验[J].浙江中医药大学学报,2019,43(5):457-459. |
| 从“血痹”论治糖尿病周围神经病变的临证经验 |
| The Clinical Experience of Treating Diabetic Peripheral Neuropathy from“Blood paralysis” |
| DOI：10.16466/j.issn1005-5509.2019.05.016 |
| 中文关键词: 血痹 糖尿病周围神经病变 病因病机 黄芪桂枝五物汤 医案 临证经验 黄平 |
| 英文关键词: blood paralysis diabetic peripheral neuropathy cause of disease and pathogenesis Huangqi Guizhi Wuwu decoction consilia clinical experience HUANG Ping |
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| 中文摘要: |
| [目的]总结并介绍黄平教授从“血痹”论治糖尿病周围神经病变的临证经验，以更好指导临床实践。[方法]以主症下肢麻木不仁、肢体不温及痿软无力为切入点，通过跟师临证，搜集黄平教授治疗糖尿病周围神经病变的病案，以分析其病因病机及用药特点，并列举病案一则加以说明。[结果]黄平教授认为糖尿病周围神经病变符合《金匮要略》中血痹的临床症状，病机上以气虚血瘀、营卫不和为要，且易夹痰、夹湿，治疗上应以益气、和血、通痹为基础，并且灵活运用祛痰除湿之法。所举案例中患者有糖尿病病史多年，以四肢麻木不温、痿软无力为主症，黄平教授认为其属血痹之气虚血瘀之证，治以益气温经、和血通痹，灵活应用黄芪桂枝五物汤加减，取得了较好的临床疗效。[结论]黄平教授从血痹论治糖尿病周围神经病变临床疗效明显，发挥了中医药治疗本病的优势，值得学习借鉴。 |
| 英文摘要: |
| [Objective]To summarize and introduce Professor HUANG Ping's clinical experience in treating diabetic peripheral neuropathy from "blood paralysis", so as to provide better guidance in clinical practice.[Methods]The main symptoms of numbness, weakness and weakness of the lower limbs were taken as the entry point, through collecting the cases of Professor HUANG Ping, the characteristics of the pathogenesis and the medication were analyzed, and one medical record was presented.[Results]Professor HUANG Ping believes that diabetic peripheral neuropathy meets the clinical symptoms of blood stasis in "Synopsis of Golden Chamber",such as the "blood paralysis". The main pathogenesis is Qi vacuity with blood stasis and construction-defense disharmony and easy to clip wet and sputum.Based on benefiting vital energy, harmonizing the blood, freeing stasis,dehumidification could be used flexibly, to improve the clinical efficacy of traditional Chinese medicine in the treatment of diabetic peripheral neuropathy. The patient had a history of diabetes for many years, and was suffered from numbness of the limbs, cold and weakness. Professor HUANG Ping believed that it was Qi deficiency and blood stasis syndrome,took supplementing Qi,warming meridian, regulating and tonifying the blood and dredging paralysis as therapeutic principles, and adopted Huangqi Guizhi Wuwu decoction according to the symptom differentiation, and achieved good clinical results. [Conclusion]The clinical curative effect on the treatment of diabetic peripheral neuropathy from blood paralysis is obvious, and plays an important role in the treatment of this disease. Professor HUANGPING's exprience has certain guiding significance and is worth learning. |
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