倪青临证诊治糖尿病周围神经病变验案辨析

NI Qing’s clinical diagnosis and treatment in diabetic peripheral neuropathy

糖尿病周围神经病变是糖尿病最为常见的一种慢性并发症,主要临床表现为持续性感觉减退,肢体麻木、疼痛等,严重影响生活质量,也是致残的重要因素之一,根据不同表现分属中医"血痹""麻木"和"痛证"范畴,现代中医称之为"消渴病痹症"。倪青教授在临证中遵循"师古而不泥古"的原则,将经方分解、化裁,处方因人而异,亦能取得很好的疗效。

Diabetic peripheral neuropathy is one of the most common chronic complications of diabetes mellitus. The main clinical manifestations are persistent sensation loss, numbness and pain of limb, etc, which seriously affects the quality of life and is also one of the important factors of disability. According to the different manifestations, it belongs to the category of ‘blood bi’, ‘numbness’ and ‘pain syndrome’ in traditional Chinese medicine, which is called ‘consumptive thirst with bi disease’ in modern Chinese medicine. Professor NI Qing follows the principle of ‘learning from the past but not muddying the past’ in clinical practice, and the prescriptions are decomposed and divided. The prescriptions vary from person to person and can also achieve good curative effect.