基于“虚瘀”理论探讨益气活血法治疗ASO

Exploration of the Qi-Benefiting and Blood-Activating Method in Treating ASO Based on the “Deficiency and Stasis” Theory

摘要: 下肢动脉硬化闭塞症(Atherosclerosis Obliterans, ASO)是临床上具有代表性的周围血管疾病，其发病率呈逐年上升趋势，由于ASO早期症状不明显，未得到患者足够的重视，最终面临截肢甚至死亡的风险。ASO属于中医学“脱疽”的范畴，其基本病机在于“本虚标实”，“虚瘀互结”是贯穿其发生、发展的关键病理环节，在ASO的临床诊疗中，虚瘀理论得到了广泛应用。笔者从“虚瘀”理论出发，探讨益气活血法治疗下肢动脉硬化闭塞症，以期为中医治疗该病提供更充分的理论依据。

Abstract: Lower extremity arteriosclerosis obliterans (ASO) is a representative peripheral vascular disease in clinical practice, with its incidence showing an increasing trend year by year. Due to the inconspicuous early symptoms of ASO, patients often fail to pay sufficient attention to it, ultimately facing the risk of amputation or even death. ASO falls within the category of “gangrene” in Traditional Chinese Medicine (TCM), and its fundamental pathogenesis lies in “deficiency as the root and excess as the manifestation”. The interplay of “deficiency and stasis” is a key pathological link throughout its occurrence and development. In the clinical diagnosis and treatment of ASO, the theory of deficiency and stasis has been widely applied. Based on the “deficiency and stasis” theory, the author explores the treatment of lower extremity arteriosclerosis obliterans with the method of replenishing qi and activating blood circulation, aiming to provide a more sufficient theoretical basis for TCM treatment of this disease.