动脉粥样硬化、2型糖尿病等疾病发病学说中低度炎症的中医病理探讨

Study on TCM Pathology of Inflammation of Low Degree in Attack Theory of Atherosclerosis,Type Ⅱ Diabetes and other Diseases

首先,痰饮、瘀血是人体水液及血液代谢障碍所产生的病理变化和病理性产物,现代医学认为,炎症过程的中心环节是血管反应,从传统中医理论看,低度的血管炎症必然导致痰饮停聚,瘀血内停。其次,从低度血管炎症的微观表现看属于中医痰饮、瘀血的范畴。再者,对低度炎症后期出现的一系列临床表现进行辨证,恰属于痰饮、瘀血。因此,认为痰饮、瘀血是低度炎症的主要病理产物。因痰瘀相关,痰可致瘀,瘀可致痰,从而痰瘀交结,致痰瘀同病。所以,痰瘀互结是低度炎症的基本病理特征。

Firstly,phlegm retention and blood stasis are pathological changes and pathological products produced by metabolic disturbance of water and liquid and blood in human body,and modern medicine hold that the central link of inflammatory course is vascular response.Based on traditional theory of Chinese medicine,it can be seen that vascular inflammation of low degree certainly leads to phlegm retention and blood stasis.Secondly,based on microcosmic manifestation,vascular inflammation of low degree belongs to category of phlegm retention and blood stasis in TCM.Thirdly,according to syndrome differentiation of a series of clinical manifestations at latter stage,inflammation of low degree is exactly belong to phlegm retention and blood stasis. Therefore,it is held that phlegm retention and blood stasis are main pathological products of inflammation of low degree.Because phlegm retention is related with blood stasis,phlegm retention can induces blood stasis and blood stasis can causes phlegm retention,so phlegm retention and blood stasis interlink,leading to syndromes of both phlegm retention and blood stasis.Thus, interlinking of phlegm retention and blood stasis is basic pathological characteristics of inflammation of low degree.