从“亢害承制”理论视角下论治下肢静脉性溃疡

The Treatment of Venous Leg Ulcers from the Perspective of “Harmful Hyperactivity and Responding Inhibition” Theory

摘要: 下肢静脉性溃疡(venous leg ulcers, VLU)是下肢慢性静脉病变的严重表现，由于该疾病迁延难愈的特性给患者带来了严重的经济损失和生活负担。中医药治疗已经在VLU的治疗中成为了不可或缺的一部分，其源远流长的中医经典理论为疾病的形成、诊断、治疗均提供了重要指导意义，为非手术治疗VLU提供了新的治疗思路与方向。本文在“亢害承制”理论的视角下探析VLU的发生过程，并试从“亢害承制”理论讨论VLU的临床治疗思路。

Abstract: Venous leg ulcers (VLU) are a severe manifestation of chronic venous disease of the lower extremities. Because of their chronic, hard to heal nature, VLU imposes a heavy economic burden and a substantial quality of life impact on patients. Traditional Chinese medicine (TCM) has become an indispensable component of VLU management. The long standing classical theories of TCM provide important guidance for the etiology, diagnosis and treatment of the disease, and offer new non-surgical therapeutic concepts and directions for VLU. In this paper, the occurrence of VLU is examined from the perspective of the “Harmful Hyperactivity and Responding Inhibition” theory. Based on this framework, we discuss clinical treatment strategies for VLU within the same theoretical system.