应用浊毒理论辨治下肢静脉性溃疡
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摘要
下肢静脉疾病是常见的周围血管疾病,其中下肢静脉性溃疡是下肢静脉功能不全最难治和最严重的并发症,发病原因是三泵功能异常导致静脉高压后所形成的炎症级联反应。把西医所谓的静脉高血和慢性炎症与中医的浊毒理论结合,并依据下肢静脉功能不全的CEAP分期,详辨其发病、发展过程,把其分为脾肺气虚、湿浊血瘀、浊毒致损3个时期,并且针对虚、瘀、浊、毒这四个主要病理环节,应用健脾补肺、活血化瘀、泻浊解毒法内服中药,同时结合外用拔毒膏,可取得满意效果。
Lower extremity venous disease is a common peripheral vascular disease.The lower extremity venous ulcer is the most difficult and most serious complication of lower extremity venous insufficiency.The cause of the disease is the inflammatory cascade formed by abnormal venous hypertension caused by abnormal three-pump function.Combining the so-called venous high blood and chronic inflammation of western medicine with the turbidity theory of traditional Chinese medicine,and according to the CEAP staging of lower extremity venous insufficiency,the pathogenesis and development process can be analyzed in detailed.It is divided into three phases as follows:Spleen and Lung Qi deficiency period,Dampness,Turbid and Blood stasis as well as dispelling Turbidity Toxin should be applied flexibly.With oral administration of traditional Chinese medicine and external use of drug paste,the clinical efficacy is quite satisfying.
Lower extremity venous disease is a common peripheral vascular disease.The lower extremity venous ulcer is the most difficult and most serious complication of lower extremity venous insufficiency.The cause of the disease is the inflammatory cascade formed by abnormal venous hypertension caused by abnormal three-pump function.Combining the so-called venous high blood and chronic inflammation of western medicine with the turbidity theory of traditional Chinese medicine,and according to the CEAP staging of lower extremity venous insufficiency,the pathogenesis and development process can be analyzed in detailed.It is divided into three phases as follows:Spleen and Lung Qi deficiency period,Dampness,Turbid and Blood stasis as well as dispelling Turbidity Toxin should be applied flexibly.With oral administration of traditional Chinese medicine and external use of drug paste,the clinical efficacy is quite satisfying.
引文
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[15]张建强,许志会,李军,等.升补宗气五脏同调法治疗下肢慢性静脉功能不全疗效观察[J].新中医,2015,47(11):94-96.
[2]常光其,陈翠菊,陈忠,等.慢性下肢静脉疾病诊断与治疗中国专家共识[J].中国血管外科杂志,2014,6(3):143-151.
[3]上海中医学院.中医外科学[M].上海:上海科学技术出版社,1964:157-158.
[4]朱文浩,王栋先,王新陆.论“浊邪”[J].云南中医学院学报,2015,38(4):28-30,47.
[5]邢玉瑞.中医浊毒概念问题探讨[J].中医杂志,2017,58(14):1171-1174.
[6]季长春,郭蕾,董振华,等.浊病病机探析[J].光明中医,2011,26(1):9-10.
[7]于丽红,王兴臣,刘伟,等.试论血浊理论及临床应用[J].中国中医药现代远程教育,2015,13(1):12-15.
[8]李茹,刘德山.关于血浊的理论浅析[J].江西中医药,2015,46(8):10-11.
[9]徐伟超,贾蕊,李欣,等.浊毒病机理论探微[J].新中医,2015,47(9):1-3.
[10]张福先,赵辉.下肢静脉功能不全的评价方式及临床应用[J].中国实用外科杂志,2015,35(12):1268-1269.
[11]张颖,江佩师,杜彦瑶.间歇正压通气式静脉曲张治疗系统[J].医疗装备,2016,29(13):17.
[12]闫少庆,赵兆琳,曹烨民,等.奚九一辨治下肢静脉曲张炎变综合征[J].中国中西医结合外科杂志,2007,14(3):298-299.
[13]黄元御.四圣心源[M].孙洽熙,校注.北京:中国中医药出版社,2009.
[14]寇娜,薛梅,王铭铭,等.实验动态可视微循环与活血化瘀研究[J].中国中西医结合杂志,2017,37(3):371-376.
[15]张建强,许志会,李军,等.升补宗气五脏同调法治疗下肢慢性静脉功能不全疗效观察[J].新中医,2015,47(11):94-96.