Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation

ZHENG Peixun; ZHAO Xin; YAN Ying

doi:10.3969/j.issn.2095-6606.2023.04.012

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Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation

Ideas and Methodologies | 更新时间：2023-08-07

- Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation
- Modern Chinese Clinical Medicine Vol. 30, Issue 4, Pages: 58-61(2023)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.北京中医药大学东方医院
  3.北京中医药大学第三附属医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.04.012
  CLC： R259
- Published：30 July 2023，
  
  Received：27 September 2022，
- 稿件说明：
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ZHENG Peixun, ZHAO Xin, YAN Ying. Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation. [J]. Modern Chinese Clinical Medicine 30(4):58-61(2023)
DOI：

ZHENG Peixun, ZHAO Xin, YAN Ying. Pattern differentiation and treatment for primary deep venous insufficiency from the perspective of blood-vessel syndrome differentiation. [J]. Modern Chinese Clinical Medicine 30(4):58-61(2023) DOI： 10.3969/j.issn.2095-6606.2023.04.012.

摘要

原发性下肢深静脉瓣膜功能不全(PDVI)主要指无深静脉血栓形成的下肢深静脉瓣膜关闭不全，出现深静脉血液倒流至膝盖以下乃至踝部静脉的病理改变，从而引起一系列静脉淤滞症状的病症。根据PDVI的临床表现及特点，可归属于中医“水肿”范畴。从血脉辨证理论内涵、奇恒之腑脉、脉之营卫二气、脉内津血等方面阐释血脉辨证理论，PDVI基本病机为脉络气虚为本、湿瘀阻滞为标，以益气利湿、养血通脉作为治疗PDVI的基本治法。结合临床病案对PDVI的辨证治疗思路进行介绍。

Abstract

Primary deep venous insufficiency (PDVI) refers to venous valvular incompetence in the lower limbs without the presence of deep vein thrombosis

which leads to deep venous blood flowing backwards into the veins below the knee and even to the ankle

thus causing a series of venous stagnation symptoms. Based on the clinical manifestations and characteristics of PDVI

it can be classified as "edema" in traditional Chinese medicine (TCM). The blood-vessel syndrome differentiation theory explains the disease using vessels

which is one of the extraordinary

organs

and the

ying

wei

liquids and blood vessels inside and outside vessles. The basic pathogenesis of PDVI can thus be regarded as the deficiency of qi in the vessels

which is the root of the disease

and the obstruction caused by dampness and stasis as the symptoms. Therefore

the basic treatment method for PDVI is to boost qi and drain dampness

nourish blood and unblock vessels. This study provides some ideas for pattern differentiation and treatment of PDVI together with several clinical cases.

关键词

原发性下肢深静脉瓣膜功能不全血脉辨证中医

Keywords

primary deep venous insufficiencyblood-vessel syndrome differentiationtraditional Chinese medicine

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