北京中医药大学学报2024，Vol.47Issue(4)：472-477,6.DOI:10.3969/j.issn.1006-2157.2024.04.016
从"燥热怫郁"理论探讨糖尿病下肢血管病变
Discussion on the diabetic lower extremity vascular disease from the theory of"dryness-heat and stagnation"
摘要
Abstract
Diabetic lower extremity vascular disease is one of the common chronic complications of diabetes,which has a strong disabling effect,clinically,it is of great significance to actively and effectively control the progression of the disease and improve the quality of life of patients.In Sanxiao Lun,LIU Wansu put forward the theory of"dryness-heat and stagnation"according to the pathogenesis of consumptive thirst,and thought that the dryness-heat and stagnation in the stomach and intestines of sanjiao were too severe,the xuanfu was blocked,and the qi and liquid failed to diffuse,which caused diabetes.Vascular endothelial injury and inflammatory reaction are important factors in the development of vascular disease,the pathogenesis evolution of"dryness-heat and stagnation"conforms to the pathological characteristics of inflammatory reaction in western medicine,and the dryness-heat runs through the diabetic lower extremity vascular disease throughout.In this paper,it is believed that diabetic lower extremity vascular disease belongs to the category of"flaccidity and paralysis"in traditional Chinese medicine,and lung scorched by heat is the cause of flaccidity."Dryness-heat and stagnation"is the source of invading heat(dryness-heat),lung scorched by heat,pulse failure and vein stasis occurred,which causes diabetic lower extremity vascular disease.Treatment should be based on flaccidity,combined with the viewpoint of LIU Wansu's Sanxiao Lun,taking yangming as the top priority,regulating the triple diabetes,solving the problem of dryness-heat and stagnation,combined with the method of purging the south and supplementing the north,so that the invading heat is cleared,lung heat is diminished,and flaccidity disease cannot occur,in order to provide new ideas for the clinical prevention and treatment of diabetic lower extremity vascular disease.关键词
燥热怫郁/肺热叶焦/糖尿病下肢血管病变/痿痹Key words
dryness-heat and stagnation/lung scorched by heat/diabetic lower extremity vascular disease/flaccidity and paralysis分类
医药卫生引用本文复制引用
杨若荻,刘军彤,李嘉鑫,周莹,焦子彧,杨宇峰,石岩..从"燥热怫郁"理论探讨糖尿病下肢血管病变[J].北京中医药大学学报,2024,47(4):472-477,6.基金项目
国家中医药管理局青年岐黄学者项目(国中医药人教函[2022]256 号) （国中医药人教函[2022]256 号）
辽宁省中央引导地方科技发展专项(No.2019JH6/10200009) （No.2019JH6/10200009）
2023 年辽宁省教育厅高校基本科研项目(No.JYTZD2023197) Young Qihuang Scholar Project of National Traditional Chinese Medicine Administration(No.[2022]256) （No.JYTZD2023197）
