经方治疗糖尿病周围神经病变

糖尿病周围神经病变属中医学消渴痹症、血痹、痿证范畴,认为消渴日久、气阴两虚、瘀血阻络、脾肾两虚、阳虚寒凝为其基本病机,病位在脉络;病机总属本虚标实,以气血亏虚为本,瘀血阻络为标。阴亏是发生糖尿病周围神经病变的关键;气虚是迁延不愈的症结;阳虚是发展的必然趋势;血瘀贯穿糖尿病周围神经病变的始终。中医分型辨治运用经方,每获良效,报道了运用黄芪桂枝五物汤、当归四逆汤、桂枝芍药知母汤治疗该病的案例。

Treating Diabetic Peripheral Neuropathy with Classical Formulas

Diabetic peripheral neuropathy equals to consumptive thirst bi sydnrome,blood bi and flaccid syndrome of traditional Chinese medicine(TCM). The fundamental disease mechanism is deficiency of Qi and Yin,blood stasis blocking collaterals,deficiency of spleen and kidney,Yang deficiency and cold coagulation,and the location is collaterals. It is a disease of deficient root and excessive branch. Deficiency of Qi and blood is the root,and blood stasis blocking collaterals is the branch. Yin deficiency is the key for the occurrence of diabetic peripheral neuropathy. Qi deficiency is the cause for prolonged course. Yang deficiency is the inevitable result. Blood stasis runs through the whole process of diabetic peripheral neuropathy. Using TCM classical formulas based on syndrome differentiation could obtain a satisfactory effect. Cases of using Huangqi Guizhi Wuwu decoction,Danggui Sini decoction,Guizhi Shaoyao Zhimu decoction were reported