1.北京中医药大学第三附属医院 北京 100029
2.北京中医药大学东方医院
杜悦,女,在读硕士生
# 闫英,女,博士,教授、主任医师,硕士生导师,E-mail:yanying_cn@139.com
纸质出版日期:2022-03-30,
收稿日期:2021-04-14,
移动端阅览
杜悦, 赵欣, 闫英. 从血脉辨证探讨动脉硬化性闭塞症的辨治思路[J]. 现代中医临床, 2022,29(2):48-51.
Yue DU, Xin ZHAO, Ying YAN. Therapeutic ideas for arteriosclerotic occlusive disease from blood-vessel syndrome differentiation[J]. Modern Chinese Clinical Medicine, 2022,29(2):48-51.
杜悦, 赵欣, 闫英. 从血脉辨证探讨动脉硬化性闭塞症的辨治思路[J]. 现代中医临床, 2022,29(2):48-51. DOI: 10.3969/j.issn.2095-6606.2022.02.011.
Yue DU, Xin ZHAO, Ying YAN. Therapeutic ideas for arteriosclerotic occlusive disease from blood-vessel syndrome differentiation[J]. Modern Chinese Clinical Medicine, 2022,29(2):48-51. DOI: 10.3969/j.issn.2095-6606.2022.02.011.
动脉硬化性闭塞症是临床最常见的周围动脉疾病,中医治疗动脉硬化性闭塞症有独特优势。血脉辨证理论以脉为主体及基本框架,血为物质基础,认为脉的形态异常及功能失调为周围血管疾病发病的两个关键因素。从藏且传化、藏中有泻,以脉为体、以通为用探讨脉的生理特性,从壅遏血液通营卫、通行气血运津液探讨脉的功能。血的生理特性为喜温恶寒、环周不休,功能为“濡养形神”。动脉硬化性闭塞症病位在血脉,病机核心是肢体血脉瘀滞。基于血脉辨证理论将动脉硬化性闭塞症分为脉络阴寒证、脉络血瘀证、脉络瘀热证、脉络瘀滞毒聚证进行分期辨证论治,益气温经、活血通脉法贯穿治疗始终。结合临床病案对动脉硬化性闭塞症的辨证治疗思路进行介绍。
Arteriosclerosing occlusive disease is the most common peripheral arterial disease in clinical practice. Traditional Chinese medicine has unique advantages in treating arteriosclerosing occlusive disease. The theory of blood-vessel syndrome differentiation takes vessels as the main body and basic framework
and blood as the material basis. It holds that abnormal shape and dysfunction of vessels are two key factors in the pathogenesis of peripheral vascular diseases.The physiological characteristics of vessels are discussed by taking vessels as the physique and dredging for use
and the function of vessels is discussed by obstructing blood to communicate with
ying wei
and carrying Qi and blood to carry body fluids. Physiologically
blood favors warmth and dislikes cold and it serves "to help and nourish the physique and spirit" . The disease location of arteriosclerotic occlusive disease is in blood
with the blood stasis of limbs as its core pathogenesis. Based on the theory of blood-vessel syndrome differentiation
arteriosclerotic occlusive disease is divided into the patterns of yin and cold of the collaterals
blood stasis of collaterals
blood stasis with heat in the collaterals
and blood stasis and toxin accumulation in the collaterals. Combined with clinical cases
this paper introduces the treatment of arteriosclerotic occlusive disease based on syndrome differentiation.
动脉硬化性闭塞症血脉奇恒之腑血脉辨证
arteriosclerotic occlusive diseasebloodvesselsextraordinary fu-organsblood syndrome differentiation
蒋米尔,张培华.临床血管外科学[M].北京:科学出版社,2014:230-234.
CRIQUI M H, ABOYANS V.Epidemiology of peripheral artery disease[J].Circ Res,2015,116(9):1509-1526.
闫英.陈淑长教授诊治周围血管病中医辨证思想概要[J].现代中医临床,2018,25(1):27-29.
章楠.灵素节注类编[M].方春阳,孙芝斋,点校.杭州:浙江科学技术出版社,1986:12.
白正勇,李淼.《内经》脏腑藏泻理论辨析[J].浙江中医杂志,2005,40(1):4-6.
黄元御.四圣心源[M].孙洽熙,校注.北京:中国中医药出版社,2009:5.
张介宾.类经[M].郭洪耀,吴少祯,校注.北京:中国中医药出版社,1997:40.
秦越人.难经[M].北京:科学技术文献出版社,1996:13.
巢元方.诸病源候论[M].宋白杨,校注.北京:中国医药科技出版社,2011:178.
中华中医药学会周围血管病分会.周围血管科常见疾病证候诊治指南(2015)[J].河北中医,2016,38(1):151-154,160.
FONTAINE R, KIM M, KIENY R.Surgical treatment of peripheral circulation disorders[J].Helv Chir Acta,1954,21(5/6):499-533.
刘昌伟,叶炜.下肢动脉硬化性闭塞症的规范化治疗探讨[J].中国医学科学院学报,2007,29(1):12-15.
赵钢,曹莹莹.下肢动脉硬化闭塞症的中西医研究进展[J].医学研究杂志,2021,50(3):1-4.
0
浏览量
23
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构