糖尿病周围神经病理性疼痛的六经证治探讨

Discussion on the syndrome differentiation and treatment of diabetic peripheral neuropathic pain based on the six meridians theory

糖尿病周围神经病理性疼痛(diabetic peripheral neuropathic pain, DPNP)是糖尿病常见的并发症之一,目前针对DPNP的传统治疗仍以对症止痛、抗抑郁为主,而中医药治疗该病有优势。本文结合DPNP的临床特点,应用六经辨证理论探讨其病情演变及病证特点,并分为邪入太阴、阳经余邪,太阴厥阴合病,太阴少阴合病和少阴厥阴合病四型论治,同时提出对应的治法及未病先防理念,为DPNP提供了一种新的治疗思路。

Diabetic peripheral neuropathic pain(DPNP) is one of the common complications of diabetes. At present, the conventional treatment for DPNP still focuses on relieving pain and depression. Traditional Chinese medicine has some advantages in treating this disease. Combining the clinical characteristics of DPNP, this study adopts the six meridians dialectical theory to explore the progression and pattern characteristics of DPNP, and divides it into four types: evil entering the taiyin meridians and remaining in the yang meridians, evil entering the taiyin and jueyin meridians, evil entering the taiyin and shaoyin meridians, and evil entering the shaoyin and jueyin meridians. Corresponding treatment method and the concept of prevention before disease are also put forward, so as to provide a new perspective for the treatment of diabetic peripheral neuropathic pain.