期刊论文

中文

中医学报

1674-8999

2019

34

11

2366-2370

10.16368/j.issn.1674-8999.2019.11.546

湖南省科技厅科技创新平台与人才计划-中医脑病临床研究中心项目(2017SK4005) 湖南中医药大学校级科研基金(自科类)项目(ZYYDX201724)。

本校为第一机构

周德生教授认为五脏虚损、阴阳不调是本病的基本病机,荣气虚滞与玄府郁闭所导致的邪滞经络是糖尿病周围神经病变的关键病因。故治疗上以调补脏腑,开通玄府为基本治疗原则,治法以益气养阴、活血逐瘀、柔筋通络为主,兼温经、涤痰、祛风、化浊、解毒等法。然DPN多病程日久,病邪繁杂胶着,故治疗上既要谨守病机以辨证施治,又需随机变通而化裁方药,不可拘泥于定方定见。在辨证选方与随症加减的基础上,注重予以风药、虫类药、藤蔓类药、树脂类药等以增强开通玄府,活血通络之功。周教授善于运用药对来增强方剂的治疗功效,如鬼箭羽配葛根,鸡血藤配地龙,怀牛膝配延胡索。

Professor Zhou Desheng thinks that the basic pathogenesis of the disease is the deficiency of five zang viscera and the disharmony of yin and yang. The key cause of diabetic peripheral neuropathy is the stagnation of qi and the stagnation of meridians caused by the stagnation of Xuanfu. Therefore,in the treatment,the basic treatment principle is to regulate and nourish the zang-fu viscera and open the Xuanfu. The treatment methods are mainly tonifying qi and nourishing yin,promoting blood circulation and removing blood stasis,softening tendons and unblocking collaterals,as well as warming the ...