摘要
[目的]研究消渴病痹证的重要病因病机虚、瘀、浊、毒。[方法]结合《黄帝内经》中关于消瘅和痹证的条文与《金匮要略》中的相关理论,探讨虚、瘀、浊、毒在消渴痹证发病中的相互作用。同时,以桂枝芍药知母汤的临床医案进一步说明祛浊化毒、扶正补虚、活血化瘀之法在消渴病合并痹证治疗中的应用。[结果]虚、瘀、浊、毒能很好地体现消渴痹证的病机,虚、瘀、浊、毒在消渴病痹证衍化过程中是联动的整体,桂枝芍药知母汤论治消渴痹证符合虚、瘀、浊、毒的的病机。[结论]消渴痹证的病机为虚瘀浊毒,全面认识四者在消渴痹证发病中的关系,有利于提高对该病的认识。
[Objective]To study the deficiency, blood stasis and turbidity, drug abuse each other is the important cause of diabetic peripheral neuropathy.[Methods]Combination of Huangdi Neijing provisions about despair an illusion of elimination and poliomyelitis in the important theory and formula, and the synopsis discusses deficiency, blood stasis and turbidity, poison in collateral to incorporate the interaction in the onset of poliomyelitis, and connecting with the application of cassia twig peony rhizoma anemarrhenae decoction clinical basis to further remove soft poison, tonify centralizer deficiency, the method for activating blood circulation in root merger poliomyelitis treatment, the application of Guizhi Shaoao Zhimu Decoction according to clinical cases the method has its principle, counterevidence deficiency, blood stasis and turbidity, drug abuse each other are collateral material combination of poliomyelitis key factors of the disease. [Results] The deficiency, blood stasis, phlegm and toxin are metabolic disorder of qi-blood pathological product of four influence each other, each other cause and effect. Phlegm, blood stasis, turbidity, toxin are the key of pathological changes from the complications of diabetes. [Conclusion]Diabetic peripheral neuropathy from the merger of collateral bi syndrome differentiation of traditional Chinese medicine can response more etiology and pathogenesis of the disease, from the perspective of virtual blood stasis turbidity toxin pathogenesis to explore the development of diabetes, polioplus partners and the clip, material is beneficial to strengthening the understanding of diabetes, polioplus partners, improving the clinical curative effect.
作者
王东军
李永美
王磊
柴可夫
Wang Dongjun Li Yongmei Wang Lei et al(Zhejiang Chinese Medical University,Hangzhou(310053)
出处
《浙江中医药大学学报》
CAS
2016年第11期836-838,共3页
Journal of Zhejiang Chinese Medical University
基金
教育部博士点基金资助项目(20133322110002)~~
关键词
消渴病
痹证
消瘅
糖尿病
周围神经病变
虚瘀浊毒
病因病机
桂枝芍药知母汤
diabetes
Bi Zheng
peripheral neuropathy
deficiency stasis and turbidity toxin
reasons and mechanism
Guizhi Shaoyao Zhimu Decoctoin