身痛逐瘀汤治疗周围血管疾病的研究进展

Research Progress on the Treatment of Peripheral Vascular Diseases with Shentong Zhuyu Decoction

摘要: 周围血管疾病是临床常见病，主要包括下肢动脉硬化闭塞症、血栓闭塞性脉管炎、血栓性浅静脉炎、下肢深静脉血栓形成及淋巴水肿等。这类疾病病因复杂、病程迁延、医治难度大，严重影响患者生活质量。现代医学多采用手术医治，但存在费用高、并发症多等局限。相比之下，中医药在该领域展现出独特优势。身痛逐瘀汤源自清代王清任《医林改错》，原为医治“瘀血痹”而设。该方具有活血化瘀、通络止痛之效。本文从临床研究、现代药理等方面对近年来关于身痛逐瘀汤医治周围血管疾病的研究进展进行系统总结，为临床上应用身痛逐瘀汤医治周围血管疾病提供有益参考。

Abstract: Peripheral vascular diseases are common clinical conditions, primarily including lower extremity arteriosclerosis obliterans, thromboangiitis obliterans, superficial thrombophlebitis, deep vein thrombosis, and lymphedema. These diseases are characterized by complex etiology, prolonged course, and challenging treatment, significantly impacting patients’ quality of life. Modern medicine predominantly employs surgical interventions, which are often associated with high costs and numerous complications. In contrast, traditional Chinese medicine (TCM) demonstrates unique advantages in this field. Shentong Zhuyu Decoction, originally recorded in Wang Qingren’s “Corrections on Errors in Medical Classics” during the Qing Dynasty, was initially designed to treat “blood stasis obstruction”. This formula exhibits effects in promoting blood circulation, resolving stasis, and relieving pain. This article systematically summarizes recent research progress on Shentong Zhuyu Decoction in treating peripheral vascular diseases from both clinical and pharmacological perspectives, providing valuable references for its clinical application.