王旭教授从瘀热辨治糖尿病周围神经病变

Professor WANG Xu in the treatment of diabetic peripheral neuropathy based on blood stasis and heat

采用中医药治疗糖尿病周围神经病变具有较好的缓解患者症状和体征的作用,并且具有针对性强,肝肾毒副作用小的优点。但中医对于糖尿病周围神经病变的辨证分型多且繁杂,因而致使临床推广不便。王旭教授秉承国医大师周仲瑛"瘀热致消"学术思想,认为糖尿病周围神经病变发病与瘀热密切相关,瘀热证候可出现在疾病发生发展过程中,因此主张从瘀热辨治本病并以清化瘀热为治疗大法。分析糖尿病周围神经病变的临床特征、病因病机与瘀热的关系,并佐以王旭教授以清化瘀热法治疗糖尿病周围神经病变的案例,为从瘀热论治糖尿病周围神经病变打下坚实的理论及临床实践基础。

Treatment of diabetic peripheral neuropathy with traditional Chinese medicine can relieve symptoms and signs of patients, and it has some advantages of strong competition and small side effects of liver and kidney. However, the traditional Chinese medicine for diabetic peripheral neuropathy is more complex and complicated, resulting in clinical promotion inconvenience. Professor WANG Xu adheres to the academic thinking from TCM master ZHOU Zhongying and she believes that blood stasis and heat are the causes of diabetes. She believes diabetic peripheral neuropathy has close relationship with blood stasis and heat. Blood stasis and heat can occur in the disease process and it should be treated from eliminating blood stasis and clearing heat. This paper is based on the relationship between blood stasis and heat and clinical characteristics, etiology and pathogenesis of diabetic peripheral neuropathy, taking the clinical case of professor WANG Xu in the treatment of DPN by eliminating blood stasis and clearing heat, to lay a solid foundation in theory and practice.