高彦彬教授从络病论治糖尿病微血管并发症经验

Professor GAO Yanbin's experience in treating microvascular complications of diabetes from collateral disease

关键词:  络病  糖尿病  微血管并发症  高彦彬

Key words:  collateral disease  diabetes  microvascular complications  GAO Yanbin

摘要:

糖尿病微血管并发症严重影响糖尿病人群的生活质量。高彦彬教授认为络病是研究糖尿病微血管并发症的关键抓手，气阴亏虚为发病之本、始动环节，痰浊、瘀血为发病的重要诱发因素，“络阻”是贯穿始终的关键病机。糖尿病肾病、糖尿病眼病的发病部位属血络范畴，且临床表现符合络病特点，可在络病理论指导下治疗，具体当分清虚实，本虚当责肝脾肾之不足、气阴之亏虚，随证补益，标实则责痰、湿、瘀之不同，据证化散，务使“通络”大法贯穿始终。

Abstract:

Microvascular complications of diabetes affect the quality of people with diabetes's life seriously. Professor GAO Yanbin believes that collateral disease is the key to studying microvascular complications of diabetes. Qi-yin deficiency is the origin and initiation of morbidity,and phlegm and blood stasis are important inducing factors. The key of the pathogenesis is collateral obstruction. The sites of diabetic nephropathy and diabetic eye disease belong to blood collateral disease,and the clinical manifestations are consistent with the characteristics of collateral disease. Therefore,it can be treated under the guidance of the theory of collateral disease. The nature of the disease and syndrome including deficiency and excess should be distinguished in treatment. The deficiency should be blame to the deficiency of liver,spleen and kidney,and the deficiency of qi and yin,while excess should be blamed to the phlegm,wetness and stasis. The method of Tongluo must be always used during treatment.