基于气街理论探讨糖尿病周围神经病变的诊疗思路

Exploring the Diagnosis and Treatment Strategy of Diabetic Peripheral Neuropathy Based on the Qi Meridian Theory

摘要: 糖尿病周围神经病变是糖尿病患者中一种常见且严重的并发症，其对患者的生活质量造成了显著影响。随着对糖尿病相关并发症研究的深入，气街理论作为一种新的理论框架逐渐引起了医学界的关注。气街理论强调气的流动与街的运作，提供了一种新的视角来分析和理解周围神经病变的病理机制及其临床表现。当前，该领域的研究虽然有所进展，但仍存在一定的局限性，如对病理机制的认识尚不够全面，治疗策略的制定缺乏系统性。本综述旨在探讨基于气街理论的糖尿病周围神经病变的诊疗思路，分析该理论在病理机制、临床表现及治疗策略中的实际应用，并结合最新研究成果，为临床实践提供切实可行的参考和指导。糖尿病周围神经病变是糖尿病患者常见且严重的并发症，对患者的生活质量造成显著影响。结合气街理论，本文探讨了糖尿病对神经系统的影响及其病理机制，强调气的不足与街的阻塞对神经功能的损害。进一步提出基于气街理论的诊断方法和治疗原则，强调补气与通街的综合干预措施，结合中药与针灸的应用，以期提高患者的生活质量。同时，展望中西医结合在糖尿病周围神经病变管理中的潜力与临床应用前景，为未来研究提供方向。

Abstract: Diabetic Peripheral Neuropathy (DPN) is a common and severe complication among diabetic patients, which significantly impairs their quality of life. With the in-depth research on diabetes-related complications, the Qi Meridian Theory has gradually attracted attention in the medical field as a new theoretical framework. This theory emphasizes the flow of “Qi” and the function of “Meridians”, providing a new perspective for analyzing and understanding the pathological mechanisms and clinical manifestations of peripheral neuropathy. Currently, although research in this field has made progress, there are still certain limitations, such as incomplete understanding of pathological mechanisms and lack of systematicity in the formulation of treatment strategies. This review aims to explore the diagnosis and treatment ideas of DPN based on the Qi Meridian Theory, analyze the practical application of this theory in pathological mechanisms, clinical manifestations and treatment strategies, and combine the latest research results to provide feasible references and guidance for clinical practice. Diabetic Peripheral Neuropathy (DPN) is a common and severe complication in diabetic patients, which significantly affects patients’ quality of life. Combined with the Qi Meridian Theory, this paper explores the impact of diabetes on the nervous system and its pathological mechanisms, emphasizing the damage to nerve function caused by insufficient “Qi” and obstruction of “Meridians”. It further proposes diagnostic methods and treatment principles based on the Qi Meridian Theory, highlighting comprehensive intervention measures of replenishing “Qi” and unblocking “Meridians”, and combining the application of traditional Chinese medicine and acupuncture to improve patients’ quality of life. Meanwhile, it looks forward to the potential and clinical application prospects of the integration of traditional Chinese and Western medicine in the management of DPN, providing directions for future research.