中壮医结合诊治糖尿病周围神经病变思路探赜

An Insight into the Combination of Medical and Therapeutic Approaches in Diabetic Peripheral Neuropathy

从中医络病理论、壮医道路理论认识唐尿病周围神经病变(DPN)发病机制,以此为例探索中壮医结合之路。基于中医络病理论对DPN发病机制再认识,初期为气络病变,因气络虚滞在经而发病,病久为脉络病变,因脉络瘀滞入血而发病。受中医络病理论对DNP再认识的启示,认识到DPN壮医发病机制为龙路火路不通,病初为火路不通,病久为龙路不通。贯串中医学、壮医学、西医学对DPN的认识,发现DPN发病初期与“气络病变-火路不通-NEI网络”有相关性,病久与“脉络病变-龙路不通-血管系统病”有相关性。结合临床经验,认识到中壮医结合治疗DPN具有互助性。该病机的互通性与治疗的互助性丰富了DPN的诊治思维,创立了中壮医结合诊治DPN的思路,促进了壮医与中医的融合发展,为少数民族医药研究提供了新的视角。

From the theory of Collaterals of traditional Chinese medicine and Zhuang Medical Road theory,understand the pathogenesis of DPN and Zhuang Medica,Take this as an example to explore the road of combining Zhuang medicine with Chinese medicine,Reunderstanding of the pathogenesis of DPN based on the theory of collateral-pathology of traditional Chinese medicine,The initial stage is qi lesion,The disease is caused by the deficiency of qi collaterals and stagnation in the meridian,and the disease for a long time is the lesion of the vein,and the disease is 1caused by the stasis of the vein into the blood.Inspired by the reunderstanding of DNP by the theory of collateral-pathology of traditional Chinese medicine,It is realized that the pathogenesis of DPN is the dragon road and fire road obstruction,the fire road obstruction at the beginning of the disease,and the long disease is the dragon road obstruction.Through the understanding of traditional Chinese medicine,Zhuang medicine and modern medicine to DPN,it is found that the initial onset of DPN is related to“qi lesion-fire road obstruction-NEI network”,Long disease and“choriopathy-dragon road impassability-vascular system disease”have correlation,Combined with clinical experience,It is realized that there is mutual assistance between Chinese and Zhuang medicine in the treatment of DPN.The mutuality of pathogenesis and mutuality of treatment enrich the thinking of diagnosis and treatment of DPN,The idea of diagnosis and treatment of DPN was established,It promotes the integration of Zhuang medicine and traditional Chinese medicine,It provides a new perspective for ethnic minority medicine research.