李小娟教授从络病论治痛性糖尿病神经病变经验总结

发布时间：2018-04-28 21:17

本文选题：痛性糖尿病神经病变 + 络病理论　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:对李小娟教授从络病论治痛性糖尿病神经病变的经验进行整理总结,探究其学术思想、论治方法及常用方药,为中医药治疗本病提供新的方法和思路。材料与方法:通过跟师学习,收集典型病例,查阅相关文献和资料,对所得资料进行分析整理,总结出导师治疗痛性糖尿病神经病变的临证经验。结果:1.李小娟教授提出痛性糖尿病神经病变与络病病程、临床表现、病理机制相符,神经、微血管与络脉相似,证实了应用中医络病理论诊治本病的可行性。2.李小娟教授认为,痛性糖尿病神经病变为本虚标实之证,本虚为气虚、阴虚、气阴两虚、阳虚,标实为水湿、痰浊、瘀血、湿热、寒凝阻滞络脉。病机关键为络虚不荣和络脉阻滞。3.治疗上,李小娟教授倡导务必保证血糖控制达标,以“络以通为用”为总的原则,在益气、养阴、温阳、利湿、清热、化瘀、祛痰、散寒的基础上,均适当佐以草木制品、藤类、虫类之品通络治疗。结论:李师从络病论治痛性糖尿病神经病变方法独特,临床疗效显著,具有指导价值,值得推广。
[Abstract]:Objective: to summarize Professor Li Xiaojuan's experience in treating painful diabetic neuropathy from collateral disease, explore its academic thought, treatment methods and common prescriptions, and provide new methods and ideas for TCM treatment of this disease. Materials and methods: by studying with teachers, collecting typical cases, consulting relevant literature and materials, analyzing and arranging the data, the clinical experience of tutor in treating painful diabetic neuropathy was summarized. The result is 1: 1. Professor Li Xiaojuan proposed that the course, clinical manifestation and pathological mechanism of painful diabetic neuropathy and collateral disease were consistent, and the nerve, microvessel and collaterals were similar, which confirmed the feasibility of using TCM collateral disease theory to treat this disease. Professor Li Xiaojuan believes that painful diabetic neuropathy is the syndrome of deficiency of essence, deficiency of yin, deficiency of qi and yin, deficiency of yang, and standard of water dampness, phlegm turbidity, blood stasis, dampness and heat, cold and coagulation to block the collaterals. The key of pathogenesis is deficiency of collaterals and block of collaterals. 3. In the treatment, Professor Li Xiaojuan advocated that we must ensure that blood sugar control should be up to standard, and that the general principle of "collaterals and channels for use" should be the general principle. On the basis of benefiting qi, nourishing yin, warming yang, promoting dampness, clearing heat, removing blood stasis, dispelling phlegm, and dissipating cold, all of them should be properly accompanied by plant products. Rattan, insect products Tongluo treatment. Conclusion: Li Shicong is a unique method in the treatment of painful diabetic neuropathy, which has a significant clinical effect and is worth popularizing.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R249

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