实用中医内科杂志2025，Vol.39Issue(3)：26-29,4.DOI:10.13729/j.issn.1671-7813.Z20240750
基于玄府理论探讨痛性糖尿病周围神经病变的中医证治
Exploring the Treatment of Painful Diabetic Peripheral Neuropathy with Traditional Chinese Medicine Based on the Theory of Mysterious Orifices
摘要
Abstract
The concept of the"mysterious orifices"(xuanfu)was first introduced in the"Huangdi Neijing"(The Yellow Emperor's Classic of Medicine)and was later innovatively developed by Liu Wan Su into the"Theory of Mysterious Orifices."This theory elaborates that the mysterious orifices are not merely the narrow concept of sweat pores but are subtle structures spread throughout the body,omnipresent,and serve as channels for the movement,ascent,and descent of qi,blood,and body fluids.Painful diabetic peripheral neuropathy(PDPN)is classified in Traditional Chinese Medicine(TCM)as a type of thirst-wasting and numb syndrome,caused by external pathogenic factors,emotional disturbances,dysfunction in transformation and transporta-tion processes,leading to phlegm and blood stasis,obstruction of the mysterious orifices,and deficiency in qi and blood.Based on the Theory of Mysterious Orifices,by analyzing the etiology and mechanism of PDPN,it is proposed to treat the condition by nourishing deficiency and supporting the right to consolidate the mysterious,promoting qi movement and phlegm dissolution,acti-vating blood circulation and removing blood stasis to open the mysterious orifices.This approach integrates internal and external treatments,combines acupuncture with medication,addresses both symptoms and root causes,and employs both attacking and supporting strategies.Guided by the Theory of Mysterious Orifices,the primary method focuses on unblocking the mysterious ori-fices,providing insights for the clinical treatment of PDPN.关键词
玄府/糖尿病周围神经病变/玄府理论/刘完素/糖尿病Key words
mysterious orifices/diabetic peripheral neuropathy/theory of mysterious orifices/LIU Wansu/diabetes分类
医药卫生引用本文复制引用
李芷仪,冷锦红..基于玄府理论探讨痛性糖尿病周围神经病变的中医证治[J].实用中医内科杂志,2025,39(3):26-29,4.基金项目
张静生国医大师传承工作室建设项目(2022-304) （2022-304）
辽宁省教育厅高等学校基本科研项目(LJKMZ20221332)、沈阳市科技计划项目(22-321-33-39) （LJKMZ20221332）
