庞鹤教授应用加减黄芪桂枝五物汤治疗周围血管疾病经验
Prof. Pang He's experience in treating peripheral vascular diseases with modified
Huangqi Guizhi Five-Ingredient DecoctionDOI:10.3969/j.issn.2095-6606.2022.04.008
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1.北京中医药大学东直门医院周围血管科 北京 100700
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陈润铭, 李友山, 谢存香, 等. 庞鹤教授应用加减黄芪桂枝五物汤治疗周围血管疾病经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2022.04.008
CHEN Runming, LI Youshan, XIE Cunxiang, et al. Prof. Pang He's experience in treating peripheral vascular diseases with modified
陈润铭, 李友山, 谢存香, 等. 庞鹤教授应用加减黄芪桂枝五物汤治疗周围血管疾病经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.3969/j.issn.2095-6606.2022.04.008 DOI:
CHEN Runming, LI Youshan, XIE Cunxiang, et al. Prof. Pang He's experience in treating peripheral vascular diseases with modified
周围血管疾病主要包括动脉性、静脉性、淋巴管性疾病。周围血管疾病大部分都有肢体发凉怕冷、疼痛、间歇性跛行、肢体肿胀、肌肤麻木不仁等症状,严重者可发展成溃疡或坏疽。中医认为该类疾病病机多为阳虚、寒凝、血瘀。庞鹤教授认为周围血管疾病即《金匮要略》中的血痹,主张用治疗血痹的黄芪桂枝五物汤治疗周围血管疾病。从根据病情程度分层论治动脉硬化闭塞症、运用对药与角药治疗慢性下肢静脉性水肿、抓住证候特点治疗雷诺氏综合征、运用虫类药与增水行舟法治疗下肢深静脉血栓等方面介绍庞教授应用加减黄芪桂枝五物汤治疗周围血管疾病的经验,并结合临床病案分析庞教授的诊疗和用药思路。
Peripheral vascular diseases mainly include arterial, venous, and lymphatic diseases. Most peripheral vascular diseases have such symptoms as cold limbs, pain, intermittent claudication, swelling of limbs, and numbness of the skin. It may develop into ulcers or gangrene in severe cases. Traditional Chinese medicine believes that the pathogenesis of these diseases is mostly yang deficiency, cold coagulation, and blood stasis. Professor Pang He believes that peripheral vascular diseases correspond to the "blood paralysis" in the ,Synopsis of the Golden Chamber, and advocates treating peripheral vascular diseases with ,Huangqi Guizhi, Five-Ingredient Decoction, which is indicated for blood paralysis. Professor Pang's experience in peripheral vascular treatment with modified ,Huangqi Guizhi, Five-Ingredient Decoction is introduced from several aspects, for example, treating arteriosclerosis obliterans in accordance with disease severity, curing chronic lower extremity venous edema by combination of paired or triangular Chinese medicine, treating Raynaud's syndrome by grasping syndrome characteristics, and curing lower extremities by coupling the method of "adding water to help the boat move" and insect medicine. Besides, the treatment ideas and medication experiences of Professor Pang are illustrated based on his clinical treatment cases.
周围血管疾病黄芪桂枝五物汤名医经验庞鹤
peripheral vascular diseasesHuangqi Guizhi Five-Ingredient Decoctionfamous physicians’experiencePang He
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