Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from <italic style="font-style: italic">Treatise on Warm-Heat Diseases</italic>

QIN Rui; CHEN Yupeng; ZHANG Wan; NI Qing

doi:10.16025/j.1674-1307.2025.08.023

您当前的位置：

首页 >

文章列表页 >

Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from Treatise on Warm-Heat Diseases

更新时间：2025-10-10

- Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from Treatise on Warm-Heat Diseases
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 8, Pages: 1057-1060(2025)
- 作者机构：
  
  1.陕西中医药大学第一临床医学院，咸阳 712046
  2.中国中医科学院广安门医院内分泌科，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.08.023
  CLC：
- Received：01 September 2024，
  
  Published：25 August 2025
- 稿件说明：
移动端阅览
秦瑞，陈玉鹏，张婉，等.基于《温热论》“泄卫透营”理论辨治糖尿病周围神经病变的经验［J］.北京中医药，2025，44（8）：1057-1060.

QIN Rui,CHEN Yupeng,ZHANG Wan,et al.Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from Treatise on Warm-Heat Diseases[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1057-1060.
秦瑞，陈玉鹏，张婉，等.基于《温热论》“泄卫透营”理论辨治糖尿病周围神经病变的经验［J］.北京中医药，2025，44（8）：1057-1060. DOI： 10.16025/j.1674-1307.2025.08.023.

QIN Rui,CHEN Yupeng,ZHANG Wan,et al.Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from Treatise on Warm-Heat Diseases[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1057-1060. DOI： 10.16025/j.1674-1307.2025.08.023.

摘要

糖尿病周围神经病变（DPN）是糖尿病常见的慢性并发症之一。倪青教授认为DPN病位在营血，热入营血、耗伤营阴是其重要病理环节，痰瘀胶结、三焦壅塞是其主要病因，卫分郁闭、邪热难透是其发病关键。将《温热论》“泄卫透营”法运用于DPN的治疗之中，通过轻宣透泄、泄痰消瘀、复元固本等方法调畅营卫，进而改善DPN的症状。

Abstract

Diabetic peripheral neuropathy （DPN） is one of the common chronic complications of diabetes. Professor NI Qing believes that the disease locates in the nutrient and blood， with heat entering the nutrient and blood and consuming the nutritional

Yin

being a critical pathological process. Phlegm and blood stasis binding together， and obstruction of the triple energizer are the main causes of the disease. The key to its onset lies in the suppression of the defensive aspect， which makes it difficult for pathogenic heat to escape. The "purging defensive aspect to expel heat of nutrient aspect" method in

Treatise on Warm-Heat Diseases

（

Wen Re Lun

） is applied in the treatment of DPN. By employing methods such as gently dispersing and releasing， eliminating phlegm， resolving blood stasis， and restor

ing the foundation， the nutrient pivot is regulated， which helps improve the symptoms of DPN.

关键词

Keywords

references

王秀阁 , 倪青 , 庞国明 . 糖尿病周围神经病变病证结合诊疗指南 [J ] . 中医杂志 , 2021 , 62 ( 18 ): 1648 - 1656 .

SAVELIEFF MG , ELAFROS MA , VISWANATHAN V , et al . The global and regional burden of diabetic peripheral neuropathy [J ] . Nat Rev Neurol , 2025 , 21 ( 1 ): 17 - 31 .

EID SA , RUMORA AE , BEIROWSKI B , et al . New perspectives in diabetic neuropathy [J ] . Neuron , 2023 , 111 ( 17 ): 2623 - 2641 .

吴瑞 , 安然 , 倪青 , 等 . 糖尿病周围神经病变分期论治临床实践浅悟 [J ] . 北京中医药 , 2021 , 40 ( 6 ): 616 - 618 .

李江敏子 , 尚菊菊 , 韩强 . 温经散寒法治疗阳虚寒凝型糖尿病周围神经病变临床疗效观察 [J ] . 北京中医药 , 2023 , 42 ( 3 ): 318 - 321 .

祁悦 , 张杰 . 中医药治疗糖尿病周围神经病变的临床研究进展 [J ] . 时珍国医国药 , 2021 , 32 ( 2 ): 428 - 432 .

李阑 , 徐大基 . 探析卫气营血理论在内伤杂病诊疗中的应用 [J ] . 基层中医药 , 2024 , 3 ( 7 ): 59 - 63 .

崔巍 , 丁宁 , 张文风 . 叶天士医案消渴病辨治特色述要 [J ] . 吉林中医药 , 2021 , 41 ( 8 ): 1000 - 1003 .

胡洁 , 傅强 , 刘媛媛 , 等 . 基于“六郁”与“郁热”理论探讨吕仁和分期论治糖尿病 [J ] . 浙江中医药大学学报 , 2023 , 47 ( 11 ): 1300 - 1305 .

李一民 , 王悦芬 . 基于伏邪理论探讨糖尿病肾病的发病机制及分期论治 [J ] . 北京中医药 , 2023 , 42 ( 3 ): 298 - 301 .

陈玉鹏 , 汤怡婷 , 庞晴 , 等 . 从三焦及营血理论探讨2型糖尿病截断扭转治疗思路 [J ] . 吉林中医药 , 2023 , 43 ( 8 ): 885 - 889 .

单贝贝 , 谢颖桢 , 牛丽强 , 等 . 基于“卫气营血”理论辨治脓毒症相关性脑病经验 [J ] . 北京中医药 , 2024 , 43 ( 6 ): 707 - 709 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Research on the correlation between TCM syndromes and comorbidities in patients with hypertension

Treatment of diabetes mellitus complicated with nonalcoholic fatty liver disease from deficiency, depression, phlegm and blood stagnation

Effect of Tangbikang on the expression of p-JNK and Bcl-2 in sciatic nerve of diabetes rats

Effects of Tangluoning on IRE1α-CHOP pathway of dorsal root ganglion in peripheral neuropathy rats under high glucose environment

Effect ofinternal and external TCM therapy in patients with diabetic peripheral neuropathy with Qi deficiency and blood stasis syndrome

Related Author

WANG Xian

DING Yukun

YAN Zuzhen

DAI Shuang

LI Hui-jie

ZHENG Wu-zhou

GUO Ya-nan

ZHANG An-na

Related Institution

Wangsiying Community Health Service Center

Department of Cardiology， Dongzhimen Hospital， Beijing University of Chinese Medicine

Heavy Liver Department of tegrated Chinese and Wensten medicine，Henan Provincial Hospital of Infectious Diseases（Zhengzhou Sixth People's Hospital）

Department of Critical Care Medicine，Henan Provincial Hospital of Infectious Diseases（Zhengzhou Sixth People's Hospital）

Department of Traditional Chinese Medicine， Beijing Friendship Hospital Affiliated to the Capital Medical University

⁰

Experience in differentiating and treating diabetic peripheral neuropathy based on "purging defensive aspect to expel heat of nutrient aspect" theory from Treatise on Warm-Heat Diseases

DOI：10.16025/j.1674-1307.2025.08.023

摘要

Abstract

关键词

Keywords

references