韦绪性教授治疗糖尿病周围神经病变临证经验

韦绪性教授认为,本病乃本虚标实之证。本虚有气、血、阴、阳之不同,尤以气阴两虚为多见,标实则多为瘀血、痰阻、寒凝、燥热痹阻脉络。"虚"、"瘀"是本病的促进因素,气血"不荣"与"不通"并存是导致肢体肌肉麻木不仁、疼痛的关键。根据本病多为气阴两虚,脉络瘀阻证之特点,所研制的消瘅通痹汤治疗糖尿病周围神经病变效果显著。

Clinical experience of Professor WEI Xu-xing in treating DPN

Professor WEI Xu-xing considers that diabetes is mainly because asthenia in origin and asthenia in superficiality. There are different types of deficiency on vital energy, blood, Yin and Yang, and the deficiency on both vital energy and blood was common. Asthenia in origin also has different types, stagnation of blood, and stagnation of phlegm, cold coagulation and pyretic arthralgia in collaterals. Deficiency and stagnation are promoting agents, while asthenia and impotency of qi and blood were the key points leading to appendicular muscles anaesthesia and aches. On the basis of the characteristics, deficiency of both vital energy and yin and stagnation of arteries and veins, the Xiaodan Tongbi decoction is effective in treating peripheral neuropathy of diabetes （DPN）.