基于营卫角度探讨气虚血瘀型下肢动脉硬化闭塞症的研究综述

A Review on Research of Qi Deficiency and Blood Stasis Type Lower Extremity Arteriosclerosis Obliterans from the Perspective of Ying-Wei

摘要: 下肢动脉硬化闭塞症(ASO)属中医“脱疽”“脉痹”范畴，气虚血瘀、营卫失调为其核心病机之一，临床发病率随人口老龄化呈逐年上升趋势，严重影响患者生活质量。现代医学以药物、手术等治疗为主，但存在西药不良反应、手术远期通畅率不佳等问题；中医药治疗本病注重辨证论治，基于营卫理论探讨下肢动脉硬化闭塞症的临床特点，进而寻找更为有效、精准的治疗方案。以调营和卫、益气活血为核心治法，契合ASO的病理特点。本文从研究背景、研究意义、国内外研究现状等方面，对临床气虚血瘀型ASO的相关研究进行综述，并对其研究价值与发展方向作出评述，为临床治疗本病提供更多思路与参考。

Abstract: Atherosclerosis Obliterans of lower limbs (ASO) belongs to the category of “gangrene” and “pulse arthralgia” in traditional Chinese medicine. Qi deficiency, blood stasis and imbalance between ying and wei are one of its core pathogenesis. The clinical incidence rate is increasing year by year with the aging population, which seriously affects the quality of life of patients. Modern medicine is mainly based on drugs and surgery, but there are some problems such as adverse reactions of western medicine and poor long-term patency rate of surgery. Traditional Chinese medicine pays attention to syndrome differentiation and treatment, and discusses the clinical characteristics of arteriosclerosis obliterans of lower limbs based on the theory of ying and Wei, so as to find a more effective and accurate treatment scheme. Taking regulating ying and protecting health, invigorating qi and promoting blood circulation as the core treatment method is in line with the pathological characteristics of ASO. In this paper, the research background, research significance, research status at home and abroad are reviewed, and its research value and development direction are commented on, so as to provide more ideas and references for clinical treatment of ASO.