从阴毒论治吸烟对血栓闭塞性脉管炎的影响

Discussion on the Effect of Smoking on Thromboangiitis Obliterans from the Perspective of Yin-Poison Theory

摘要: 血栓闭塞性脉管炎是一种慢性缺血性疾病，以四肢末梢冰冷青紫、静息痛，甚至溃疡、坏疽等为临床表现。吸烟是导致血栓闭塞性脉管炎的重要原因之一，文章根据烟草的致病特点，结合陈实功提出的“阴毒”理论探讨血栓闭塞性脉管炎的发病机制，认为血栓闭塞性脉管炎的治疗原则为补气回阳，解毒通络，并重用银花攻补兼施、扶正祛毒，以期为临床治疗血栓闭塞性脉管炎提供一定思路。

Abstract: Thromboangiitis obliterans is a chronic ischemic disease characterized by cold and cyanotic extremities, resting pain, and even ulcers and gangrene. Smoking is one of the important causes of thromboangiitis obliterans. Based on the pathogenic characteristics of tobacco, this paper explores the pathogenesis of thromboangiitis obliterans in combination with the “Yin-Poison” theory proposed by Chen Shigong. It is believed that the treatment principle for thromboangiitis obliterans should be to tonify Qi and restore yang, detoxify and unclog the meridians, with emphasis on the use of honeysuckle (Lonicera japonica) to achieve both tonification and purging, thereby strengthening the body’s resistance and eliminating toxins. The purpose of this paper is to provide certain insights into the clinical treatment of thromboangiitis obliterans.