下肢动脉硬化闭塞症的中医外治方法研究

Research on Traditional Chinese Medicine External Treatment Methods for Lower Limb Arteriosclerosis Obliterans

摘要: 下肢动脉硬化闭塞症(Arteriosclerosis Obliterans, ASO)作为外周动脉代表性疾病，是由于多种原因导致下肢动脉狭窄甚至闭塞而引起下肢慢性缺血性疾病。主要表现为患侧下肢的发凉、麻木、静息痛、间歇性跛行等症状，严重时可导致患侧肢体的溃疡及组织坏死，进而出现菌血症、败血症等危及生命的情况，是我国造成截肢的重要因素之一。目前临床治疗主要包括一般治疗、药物治疗、介入治疗以及手术治疗，但关于中医外治方面的治疗研究评述较少，本文将从临床常用的关于ASO的中医外治方法，包括针灸、中药熏蒸、穴位敷贴、清创等方法的原理、操作方法以及疗效进行评述。

Abstract: Lower limb Arteriosclerosis Obliterans (ASO), as a representative disease of peripheral arteries, is a chronic ischemic disease of the lower limbs caused by various reasons leading to stenosis or even occlusion of the lower limb arteries. The main symptoms include coldness, numbness, resting pain, and intermittent claudication in the affected lower limb. In severe cases, it can lead to ulcers and tissue necrosis in the affected limb, resulting in life-threatening conditions such as bacteremia and sepsis. It is one of the important factors causing amputations in China. At present, clinical treatment mainly includes general treatment, drug treatment, interventional treatment and surgical treatment, but there is little comment on the treatment research on external treatment of traditional Chinese medicine. This article will review the principles, operation methods and efficacy of the commonly used external treatment methods of traditional Chinese medicine for ASO, including acupuncture and moxibustion, fumigation of traditional Chinese medicine, acupoint application, debridement and other methods.