依据治痿独取阳明论治糖尿病周围神经病变

Treatment of Diabetic Peripheral Neuropathy according to Treatment for Amyotrophy Aiming at Yangming Meridian

糖尿病周围神经病变是糖尿病最常见的慢性并发症之一,发病率较高,以肢体对称性麻木、疼痛、感觉异常、痿软不用、肌肉萎缩、肢端难愈性溃疡等为主要临床表现,属于中医学“痿病”“痹证”“消渴”等范畴,依据“治痿独取阳明”原则对其论治,按照五脏虚损进行辨证,并重视中焦脾胃在治疗中的主体地位,能够在此病的临床诊治方面提供参考性建议。

Diabetic peripheral neuropathy is one of the most common chronic complications of diabetes, with a high incidence, limb symmetry numbness, pain, paresthesia, dysfunction, muscle atrophy, and refractory ulcers of the extremities are the main clinical manifestations. It is regarded as “ atrophic disease” “ amyotrophy” “ diabetes” and other areas. The treatment is based on the principle of “ treatment for amyotrophy aiming at Yangming meridian”. According to the diagnosis and treatment based on syndrome differentiation of five viscera, and pay attention to the main position of the spleen and stomach in the treatment, it can provide reference suggestions in the clinical diagnosis and treatment of this disease.