国医大师王新陆从“血浊”论治糖尿病脑梗死经验探析

Master of traditional Chinese medicine WANG Xinlu analyzed the experience of treating diabetic cerebral infarction from “blood turbidity”

关键词:  血浊  糖尿病合并脑梗死  治法

Key words:  blood turbidity  diabetic cerebral infarction  treatment method

摘要:

近年来，伴随社会经济的发展，人民生活方式的改变，糖尿病发病率逐年增高，糖尿病脑梗死的患病人数也呈现明显的上升趋势。国医大师王新陆教授从事糖尿病及其脑梗死并发症研究多年，基于自身开创的血浊理论，并结合丰富的临床经验，认为糖尿病脑梗死有着“脾虚致浊为始，瘀损脑络为终，血液浊化停滞成瘀为枢纽”的病机演变规律。同时，王新陆教授依照疾病特点，归纳总结出该病治疗当以围绕清化血浊为基本原则，针对具体病情，及时合理地选用健脾益气、清热滋阴、化瘀通络等治法，疗效甚验，这为临床治疗糖尿病合并脑梗死提供新的思路与方法。

Abstract:

In recent years，along with the development of social economy and the change of people's lifestyle，the incidence of diabetes mellitus is increasing year by year，and the number of diabetic cerebral infarction is also presenting an obvious rising trend. Professor WANG Xinlu，a master of Chinese medicine，has been engaged in the research of diabetes and its cerebral infarction complications for many years. Based on his own pioneering theory of blood turbidity and rich clinical experience，he believes that diabetic cerebral infarction has a pathogenetic evolution law of “spleen deficiency causing turbidity as the beginning，stasis damaging the cerebral collaterals as the end，and blood turbidity stagnation and stagnation into stasis as the pivotal point”. At the same time，according to the characteristics of the disease，Professor WANG Xinlu concluded that the treatment of this disease should be based on the basic principle of clearing and transforming blood turbidity. According to the specific conditions，timely and reasonable selection of strengthening the spleen and replenishing qi，clearing heat and nourishing yin，resolving blood stasis and clearing collaterals，etc.，the therapeutic effect is remarkable，which provides new ideas and methods for the clinical treatment of diabetes mellitus combined with cerebral infarction.