世界中医药
世界中醫藥
세계중의약
World Chinese Medicine
2015年
9期
1448-1452
,共5页
糖尿病周围神经病变%病因病机%中药%辨证论治
糖尿病週圍神經病變%病因病機%中藥%辨證論治
당뇨병주위신경병변%병인병궤%중약%변증론치
Diabetic Peripheral Neuropathy%Medical etiology%Traditional Chinese medicine%Syndrome differentiation and treat-ment
目的：分析概括糖尿病周围神经病变（Diabetic Peripheral Neuropathy，DPN）的临床表现、中医学病因病机以及中药治疗方法。方法：通过查阅文献，归纳概括经典的 DPN 病因病机，并根据其特点进行辨证分型，再论治相应的中药治疗。结果：针对 DPN 的临床表现和病因病机辨证论治，采用了近年来经临床观察疗效显著具有代表性的药物治疗处方，详述了经典的 DPN 古籍药方、单味中药运用治疗和新型的医院制剂。结论：DPN 发病机理复杂多变，虽然高血糖是 DPN 发病的始动因素，但它的发生发展还和其他因素有关。中医学上把 DPN 归于“消渴病”范畴。根据其临床表现和病因病机，通过辨证论治采用益气养阴、温阳补肾、化痰祛瘀、活血通络的方法可以显著改善 DPN 临床症状。
目的：分析概括糖尿病週圍神經病變（Diabetic Peripheral Neuropathy，DPN）的臨床錶現、中醫學病因病機以及中藥治療方法。方法：通過查閱文獻，歸納概括經典的 DPN 病因病機，併根據其特點進行辨證分型，再論治相應的中藥治療。結果：針對 DPN 的臨床錶現和病因病機辨證論治，採用瞭近年來經臨床觀察療效顯著具有代錶性的藥物治療處方，詳述瞭經典的 DPN 古籍藥方、單味中藥運用治療和新型的醫院製劑。結論：DPN 髮病機理複雜多變，雖然高血糖是 DPN 髮病的始動因素，但它的髮生髮展還和其他因素有關。中醫學上把 DPN 歸于“消渴病”範疇。根據其臨床錶現和病因病機，通過辨證論治採用益氣養陰、溫暘補腎、化痰祛瘀、活血通絡的方法可以顯著改善 DPN 臨床癥狀。
목적：분석개괄당뇨병주위신경병변（Diabetic Peripheral Neuropathy，DPN）적림상표현、중의학병인병궤이급중약치료방법。방법：통과사열문헌，귀납개괄경전적 DPN 병인병궤，병근거기특점진행변증분형，재론치상응적중약치료。결과：침대 DPN 적림상표현화병인병궤변증론치，채용료근년래경림상관찰료효현저구유대표성적약물치료처방，상술료경전적 DPN 고적약방、단미중약운용치료화신형적의원제제。결론：DPN 발병궤리복잡다변，수연고혈당시 DPN 발병적시동인소，단타적발생발전환화기타인소유관。중의학상파 DPN 귀우“소갈병”범주。근거기림상표현화병인병궤，통과변증론치채용익기양음、온양보신、화담거어、활혈통락적방법가이현저개선 DPN 림상증상。
Objective:To analyze and summarize the clinical manifestation of diabetic peripheral neuropathy (DPN)as well as the medical etiology and to seek for the classic treatment with Chinese herbs for DPN.Methods:The classical DPN etiology was sum-marized and concluded by referring to the domestic and foreign lecture.Differentiation was carried out for DPN according to the characteristics with corresponding prescriptions of traditional Chinese medicine.Results:According to the syndrome differentiation and treatment of clinical DPN manifestation,as well as the etiology and pathogenesis,the representative drug therapy with effective curative effect through clinical observation over the past years was adopted,and the classical DPN ancient prescription,application of single Chinese herb and hospital preparation were illustrated in details.Conclusion:The pathogenesis of DPN is complicated and changeable.Although hyperglycemia is the initial factor of DPN,its occurrence and development are also related to other fac-tors.In the traditional Chinese medicine,DPN is attributed to the range of ‘diabetes’.According to its clinical manifestation and etiology,the clinical manifestation of DPN can be improved notably through syndrome differentiation and treatment of tonifying qi and yin,warming yang and tonifying kidney,reducing phlegm and removing stasis,promoting blood circulation to remove meridian obstruction.
