|
|
|
| Pro.CHEN Zhi-gang′s experience in treating peripheral neuropathy based on disease differentiation |
| YANG Ling1 CHEN Zhi-gang2▲ |
1.Department of Encephalopathy,Beijing Moslem People′s Hospital,Beijing 100054,China;
2.Department of Encephalopathy,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China |
|
|
|
|
Abstract Peripheral neuropathy disease have complex etiologies,various courses and diverse clinical manifestations.Disease differentiation treatment is proposed by professor CHEN Zhi-gang,which is based on different courses and etiologies according to the classification of peripheral neuropathy in western medicine.Acute/subacute peripheral neuropathy is associated with exogenous pathogens,and removing pathogens is considered to be the primary treatment,supplementing qi and blood should be emphasized.Chronic peripheral neuropathy should be considered in terms of internal and accumulated damages.It is necessary to identify the problem according to syndrome differentiation of sanjiao theory.In addition to emphasizing qi and blood,invigorating kidney drugs should be properly used.The recurrent peripheral neuropathy needs to be understood from the perspective of"hidden pathogen theory".Its core pathogenesis is deficiency of vital qi,disorder of zang and fu viscera generating turbid phlegm,toxin and stasis.Treatment should be"benefiting vital qi,resolving phlegm and removing toxicity".
|
|
|
|
|
|
| [1] |
王维治.神经病学[M].北京：人民卫生出版社，2013：503-510.
|
| [2] |
周仲瑛.中医内科学[M].北京：中国中医药出版社，2007：463-489.
|
| [3] |
杨成波，王英峰.临床治疗臂丛神经痛的研究进展[J].医学综述，2017，23（21）：4271-4275.
|
| [4] |
杨万章.周围性面神经麻痹诊断、评价与分期分级治疗[J].中西医结合心脑血管病杂志，2017，15（3）：257-263.
|
| [5] |
中国吉兰-巴雷综合征诊治指南[A]//2011年全国神经肌肉病年会暨炎性脱髓鞘性周围神经病与包涵体肌炎（病）诊治新进展学术研讨会论文集[C].2011：16-20.
|
| [6] |
中华医学会神经病学分会肌电图与临床神经电生理学组，中华医学会神经病学分会神经肌肉病学组.痛性周围神经病的诊断和治疗共识[J].中华神经科杂志，2012，45（11）：824-827.
|
| [7] |
Sandireddy R，Yerra VG，Areti A，et al.Neuroinflammation and oxidative stress in diabetic neuropathy：futuristic strategies based on these targets[J].Int J Endocrinol，2014，2014：674987.
|
| [8] |
中华中医药学会糖尿病分会.糖尿病周围神经病变中医临床诊疗指南（2016 年版）[J].中医杂志，2017，58（7）：625-630.
|
| [9] |
张倩，梁晓春，王超，等.660例糖尿病周围神经病变患者中医证型及临床特点分析[J].中国中西医结合杂志，2017，37（1）：62-67.
|
| [11] |
韦艳丽，周哲屹，刘国成，等.中医综合治疗慢性炎症性脱髓鞘性多发性神经根神经病18例[J].河北中医，2014，36（4）：537-539.
|
| [12] |
刘清泉，高洁.伏邪探源[J].中医杂志，2011，52（2）：95-97.
|
| [13] |
任继学.伏邪探微[J].长春中医学院学报，2005，21（1）：4-7.
|
| [14] |
汤阳，徐一丹，于雪婷，等.基于伏邪学说探讨亚急性甲状腺炎的治疗思路[J].中华中医药杂志，2017，32（10）：207-209.
|
| [10] |
Van den Bergh PY，KHadden RD，Bouche P，et al.European Federation of Neurological Societies/Peripheral Nerve Society guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy：report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society-first revision[J].Eur J Neurol，2010，17（3）：356-363.
|
| [15] |
许前磊，许向前，许二平，等.从伏邪论治艾滋病理论探讨[J].中华中医药杂志，2017，32（6）：2383-2385.
|
|
|
|
