从柴胡桂枝干姜汤主厥阴论治糖尿病周围神经病变

Discussion on Chaihu Guizhi Ganjiang Decoction in Treatment of Diabetic Peripheral Neuropathy from the Perspective of Jueyin Disease

柴胡桂枝干姜汤能温寒通阳,解结生津,具有寒热并用的特点,为厥阴代表方剂之一。糖尿病周围神经病变病机错综复杂,呈现寒热错杂、正虚与邪实并存的特点。现引证相关经典原文结合临床分析糖尿病周围神经病变病机,阐释柴胡桂枝干姜汤方证,论述应用柴胡桂枝干姜汤从厥阴病论治糖尿病周围神经病变的理论基础,为本病的治疗提供一个新思路。

Chaihu Guizhi Ganjiang Decoction can warm yang and dispel cold,dissolve the stagnation,and promote fluid production,with the characteristics of both cold and heat,which is one of the representative prescriptions of Jueyin disease.The pathogenesis of diabetic peripheral neuropathy is complicated,showing the characteristics of intermingled cold and heat,healthy qi deficiency and excessive pathogen.This paper quotes relevant classical texts combined with clinical analysis of the pathogenesis of diabetic peripheral neuropathy,explains the ingredient and efficacy of Chaihu Guizhi Ganjiang Decoction,and discusses the theoretical basis of applying Chaihu Guizhi Ganjiang Decoction for the treatment of diabetic peripheral neuropathy from the perspective of Jueyin disease,in order to provide a new idea for the treatment of this disease.