基于《黄帝内经》以“虚邪痰瘀”探析下肢动脉硬化闭塞症

Analysis of Lower Extremity Arteriosclerosis Obliterans Based on the Inner Canon of Huangdi with “Deficiency, Evil Influence, Phlegm and Stasis”

下肢动脉硬化闭塞症是最常见的周围血管疾病之一,在中医上属于“脉痹”、“脱疽”范畴。《黄帝内经》最早有其临床症状的描述。故基于《黄帝内经》条文从虚、邪、痰、瘀四方面阐述下肢动脉硬化闭塞症的病因病机;并结合诸多医家见解,认为其中医治疗应遵守标本兼治,内外并重、分期论治,辩证论治、三因制宜,防治结合的原则;治疗应当扶正祛邪、虚瘀同治、祛瘀化痰,内治与外治相互配合,为疾病的治疗提供新的思路与方法。

Lower extremity arteriosclerosis obliterans is one of the most common peripheral vascular diseases, belonging to the categories of “pulse obstruction” and “gangrene” in traditional Chinese medicine. The Inner Canon of Huangdi was the earliest to describe its clinical symptoms. Therefore, based on the provisions of the Inner Canon of Huangdi, this article elaborates on the etiology and pathogene-sis of lower extremity arteriosclerosis obliterans from four aspects: deficiency, evil influence, phlegm, and stasis;based on the opinions of many medical experts, it is believed that traditional Chinese medicine treatment should adhere to the principles of treating both the root cause and the root cause, emphasizing both internal and external factors, treating in stages, treating dialectically, adapting to the three factors, and combining prevention and treatment;the treatment should Fu-zhengg Quxie, simultaneous treatment of deficiency and stasis, eliminate stasis and phlegm, and cooperate with internal and external treatment to provide new ideas and methods for the treat-ment of diseases.