柴可夫治疗糖尿病末梢神经病变临床经验

CHAI Ke-fu's clinical experience in treating diabetic peripheral neuropathy

柴可夫秉《黄帝内经》之理,指出脾胃损伤是糖尿病及其末梢神经病变的病机关键。临证辨治,调治脾胃为本;在此基础上,分三期运用经方进行辨治:初期以肢端麻木为辨治要点,主以黄芪桂枝五物汤;中期以肢体疼痛为辨治要点,主以芍药甘草附子汤;后期以手足冰冷、肢体痿弱无力为辨治要点,以当归四逆加吴茱萸生姜汤合芍药甘草附子汤主治。其理论结合临床的宝贵治证经验,值得研习。

In accordance with the principle of Huangdi Neijing, professor CHAI Ke-fu points out that the injury of spleen and stomach is the key pathogenesis of diabetes and diabetic peripheral neuropathy（DPN）. Regulating spleen and stomach is the primary therapy for this disease in clinic. On this basis, he differentiates and treats this disease by applying classical prescriptions from three stages, such as, the main symptom of syndrome in the early stage is extremities numbness with the main formula as Huangqi Guizhi Wuwu decoction, the main symptom of syndrome in the middle stage is limbs pain with the main formula as Shaoyao Gancao Fuzi Decoction, and the main symptom of syndrome in the late stage is icy-cold extremities and limb impotent feebleness with the main formula as Danggui Sini Wuzhuyu Shengjiang Decoction combined with Shaoyao Gancao Decoction. His valuable clinical experience in integrating theory and clinic is worth studying and learning.