摘要
消渴痹证是在慢性高血糖环境下由微循环病变引起的以“凉、麻、痛、痿”为临床特点的对称性多神经性病变,其基本病机与消渴日久,气阴两虚,血伤入络,瘀血阻滞,脉络不通相关,瘀血为其病机关键,既为致病因素,又为病理产物,贯穿于疾病始终。然消渴痹证之“瘀”乃为消渴之“瘀”久痹气血经络,瘀滞日久而成之“顽瘀”,根深蒂固,非轻清草木之剂所能宣达。于此“顽瘀久痹”之治,当在益气活血、化瘀通络的基础上加用虫类活血药以攻逐伏邪,松透病根,取其为血肉有情之品,具走窜之性,善搜剔攻逐之力。一则易被人体吸收利用;二则搜剔攻逐血络之“顽瘀”;三则引药直达经络,加强活血化瘀,通络止痛之功,使“血无凝著,气可宣通”,有耕田耙地之功,疏流开渠之效,临床疗效独特。是以该文综各家之言以论虫类活血药治疗消渴痹证之用,为其临床应用及进一步研究提供依据。
Diabetic peripheral neuropathy is a symmetric polyneuropathy with clinical features of“coldness,numbness,pain and flaccidity”caused by microcirculation disturbance in the environment of chronic hyperglycemia.Its basic pathogenesis is related to long-term diabetes,Qi consumption and Yin injury,blood injury entering collaterals and blood stasis blocking and blood stasis being the key to pathogenesis,which is not only a pathogenic factor,but also a pathological product and runs through the whole course of disease.However,the“blood stasis”of diabetic peripheral neuropathy is caused by the long-term obstruction of Qi,blood and meridians,which is deeply rooted and can not be treated by herbs.In this treatment of“stubborn blood stasis and long-term Bi syndrome”,the insect blood-activating drugs should be added on the basis of invigorating Qi,activating blood circulation,removing blood stasis and dredging collaterals,so as to attack the latent evils,loosen the root of the disease.As the insect drugs are the flesh and blood products,they have the nature of running and crossing,and are good at searching,attacking and expelling.One is easily absorbed and utilized by human body.The second is to search for the"stubborn blood stasis"of attacking and obstructing the blood collaterals.Thirdly,it can introduce drugs directly to the meridians,strengthen the functions of promoting blood circulation,removing blood stasis,dredging collaterals and relieving pain,so that“blood has no coagulation,and Qi can be communicated”.It has the functions of dredging channels and unique clinical curative effect.Therefore,based on the discussion of various physicians,this paper analyzed the application of insect blood-activating drugs in treating diabetic peripheral neuropathy,and provided the basis for its clinical application and further research.
作者
牛苗苗
张效科
NIU Miaomiao;ZHANG Xiaoke(Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,Shaanxi,China)
出处
《辽宁中医杂志》
CAS
2022年第6期217-220,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81774304)
关键词
消渴痹证
虫类活血药
瘀血
活血化瘀
Xiaoke Bi syndrome
insect blood-activating drugs
blood stasis
activating blood circulation and resolving blood stasis
