从“浊毒”入“络”论治糖尿病周围神经痛

Treatment of diabetic peripheral neuropathic pain from the perspective of “turbid toxin” entering “collaterals”

糖尿病周围神经痛(DPNP)是指由糖尿病导致的以神经病理性疼痛为主要表现的一类疾病。笔者经过长期临床实践与总结,提出“浊毒”是DPNP的基本病因,其影响贯穿糖尿病发生发展的始终。“浊毒”入“络”是DPNP的基本病机。临床治疗DPNP时,以化浊解毒、通络止痛为大法,并拟“化浊通络汤”方加减。结合临床病案,对“化浊通络”法在DPNP中的应用进行介绍。

Diabetes peripheral neuropathic pain(DPNP) refers to a kind of disease caused by diabetes with neuropathic pain as the main manifestation. After long-term clinical practice and summarization, we put forward that “turbid toxin” is the underlying cause of DPNP, and its influence is present throughout the occurrence and development of diabetes. “Turbid toxin” entering the “collaterals” is found to be the basic pathogenesis of DPNP. In the clinical treatment of the disease, the main method is to remove the turbid toxin, unblock the collaterals and relieve the pain, using the formula of “Turbidity-Removing and Collateral-Unblocking Decoction”, which is adjusted as needed. The application of the treatment method is explained in this paper with actual clinical cases.