中医药治疗慢性下肢静脉功能不全C3期的研究进展

Research Progress in Traditional Chinese Medicine for the Treatment of Chronic Lower Limb Venous Insufficiency at Stage C3

摘要: 近年来，中医药治疗慢性下肢静脉功能不全为广大学者所认可，C3期是本病的常见表现之一，通过整理近五年的相关文献，发现应用中药汤剂、针灸推拿、中医外治法治疗本病的疗效明显高于单纯的西医治疗。中药汤剂治疗以益气、活血、祛湿为主，辅以温阳、行气、化痰、通络、升阳、清热等，但经方治疗及现代药理学意义等方面有所欠缺；针灸推拿疗效虽有相关文献佐证，但缺乏高质量随机对照试验；中医外治法展现出新的研究进展，发现中药热奄包或中药穴位贴敷疗法能够提高治疗本病的有效率，可达90%以上。

Abstract: In recent years, the treatment of chronic lower extremity venous insufficiency with traditional Chinese medicine has been widely recognized by scholars. Stage C3 is one of the common manifestations of this disease. By sorting out relevant literature published in the past five years, it has been found that combined therapies including traditional Chinese herbal decoctions, acupuncture and tuina, as well as external traditional Chinese medicine therapies achieve significantly better curative effects than single therapies in treating this condition. The core therapeutic principles of traditional Chinese herbal decoctions mainly focus on replenishing qi, activating blood circulation and eliminating dampness, supplemented by warming yang, regulating qi movement, resolving phlegm, unblocking collaterals, elevating yang and clearing heat. However, there are deficiencies in the research on classical prescriptions and their modern pharmacological mechanisms. Although the efficacy of acupuncture and tuina has been verified by relevant studies, high-quality randomized controlled trials are still insufficient. New research progress has been made in external traditional Chinese medicine therapies. It has been confirmed that traditional Chinese medicine hot compress packs and acupoint application therapy can raise the effective treatment rate of this disease to over 90%.