张兰从络病治疗糖尿病周围神经病变经验总结

Experience of ZHGANG Lan in Treating Diabetic Peripheral Neuropathy from Collateral Disease Theory

糖尿病周围神经病变是糖尿病最常见的慢性并发症,张兰教授认为神经组织结构与络病相似,DPN发病的病理特性是典型络病表现,运用络病理论治疗糖尿病周围神经病变已经取得良好的临床效果,该文通过张兰教授治疗该病的学术思想及临床经验进行分析,认为络气虚损、脉络瘀阻、络脉损伤、气血运行失常导致肌肉麻痹不仁,络损与瘀血为主要发病因素,在治疗上注重攻补兼施,扶正祛邪相结合,为临床治疗糖尿病周围神经病变提供思路。

Diabetic peripheral neuropathy is the most common chronic complication of diabetes.Professor ZHANG Lan believes that the structure of nerve tissue is similar to that of collateral disease.The pathological characteristics of DPN are typical manifestations of collateral disease.The application of collateral disease theory in the treatment of diabetic peripheral neuropathy has achieved good results.Clinical effect,this article analyzes Professor ZHANG Lan's academic thoughts and clinical experience in treating the disease,and believes that collateral qi deficiency,collateral stasis,collateral damage,and abnormal Qi and blood movement lead to muscle paralysis and inhumanity,and collateral damage and blood stasis are the main factors.In terms of pathogenic factors,we should pay attention to both attack and supplement in the treatment,and the combination of strengthening the righteousness and eliminating pathogenic factors provides ideas for the clinical treatment of diabetic peripheral neuropathy.