从络病学说论治糖尿病血管并发症
Treatment of Diabetic Vascular Complications in Luobing Theory
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摘要: 糖尿病血管并发症是糖尿病的特异性损害,具有消渴病脉损、络损的特点,其所涉及的大血管、微血管病变可归属于络病范畴。认为络脉病变是糖尿病血管并发症的基本病机,需要运用中医络病学说理论,紧扣络脉瘀阻的病机,积极运用化瘀通络的药物对糖尿病进行干预治疗;提出根据络脉瘀阻程度的不同,分为络气郁滞、络脉瘀阻、络脉瘀塞3阶段,分阶段使用程度不同的化瘀通络药物,可提高临床疗效。Abstract: Diabetic vascular complications are specific damages caused by diabetes mellitus belonging to Vessel and Collateral Damage of Xiaoke Disease. Large vessel diseases and small vessel diseases related to diabetic complications can be categorized to Luobing. As collateral damage is considered as the pathogenesis of diabetic vascular complications according to Luobing theory, expelling blood stasis and dredging collateral should be applied to inhibit the early middle and late stages of diabetes mellitus. According to the extent of collateral obstruction, there are three stages: collateral qi stagnation, collateral blood stasis and collateral blockage and expelling blood stasis and dredging collateral medicines with different effects should be applied in different stages in order to improve clinic effects.
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Key words:
- diabetes mellitus /
- vascular complications /
- Luobing /
- dredging collaterals
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[1] 黄帝内经[M].北京:线装书局,2009:176,263,33. [2] The yellow emperor's inner classic[M]. Beijing:thread-binding books publishing house,2009:176,263,33. [3] 叶天士医学全书[M].黄英志,编.北京:中国中医药出版社,1999:591. [4] Ye Tianshi's complete compendium of medicine [M].Huang YZ,compiled.Beijing:China press of traditional Chinese medicine,1999:591. [5] 雷燕.络病理论探微[J].北京中医药大学学报,1998, 21(2):18-23. [6] Lei Y. Discussion on the collateral disease doctrine [J].J Beijing Univ Chin Med,1998,21(2):18-23. [7] 叶天士.临证指南医案[M].北京:人民卫生出版社,2006:155-234. [8] Ye TS. A guide to clinical practice with medical records[M]. Beijing:People's medical publishing house,2006:155-234. [9] 赵佶.圣济总录[M].程林,纂辑.北京:科学出版社,1997:94. [10] Zhao J. General medical collection of royal benevolence[M].Cheng L, compiled. Beijing:science press,1997:94. [11] 刘完素医学全书[M].宋乃光,编.北京:中国中医药出版社,2006:55. [12] Liu Wansu's complete compendium of medicine [M].Song NG,compiled. Beijing:China press of traditional Chinese medicine,2006:55. [13] 戴原礼.秘传证治要诀及类方[M].北京:人民卫生出版社,1989:119. [14] Dai YL. Key to diagnosis and treatment and class prescriptions[M]. Beijing:People's medical publishing house,1989:119. [15] 仝小林,赵昱,毕桂芝,等.试论中医“治未病”及“络病”理论在糖尿病微血管并发症治疗中的应用[J].中医杂志,2007, 48(6):485-486. [16] Tong XL,Zhao X,Bi GZ,et al. Effect of TCM doctrine of disease prevention and collateral diseases on diabetic microvascular complications[J]. J Tradit Chin Med,2007,48(6):485-486. [17] 吴以岭.络病学[M].北京:中国中医药出版社,2005:2,100. [18] Wu YL. Study of collateral diseases[M]. Beijing:China press of traditional Chinese medicine,2005:2,100. [19] 雷根平.对2型糖尿病主要病机观点的再认识[J].江苏中医药,2006, 27(11):9-10. [20] Lei GP. Recognition of main pathogenesis of typeⅡdiabetes[J]. Jiangsu J Tradit Chin Med,2006,27(11) :9-10. [21] 周水平,仝小林,朴信映,等.络通对糖尿病大鼠视网膜病变的作用及机理探讨[J].中日友好医院学报,2000, 14(6):313-317. [22] Zhou SP, Tong XL, Piao XY, et al. Efficacy and mechanism of action of Luotong on diabetic retinopathy in strptozotocin-induced diabetic rats[J].J China-Japan Friendship Hosp,2000,14(6) :313-317. [23] 中华中医药学会.糖尿病中医防治指南[M].北京:中国中医药出版社,2007:2-3. [24] China Association of Traditional Chinese Medicine. Guideline for TCM diabetes prevention and treatment[M].Beijing:China press of traditional Chinese medicine,2007:2-3. [25] 李中南,方朝晖,张进军,等.糖尿病从瘀论治探析[J].中医药临床杂志,2012, 24(2):154-157. [26] Li ZN,Fang CH,Zhang JJ,et al. On the treatment of diabetes mellitus from blood stasis [J]. Clin J Tradit Chin Med,2012,24(2):154-157.
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