Discussion on the etiology, pathogenesis and treatment of lymphedema from "<italic style="font-style: italic">Xuanfu</italic> opening and closing, collaterals dredging and blocking"

LI Yuhan; LIU Zheng; LI Yixuan; WANG Yingrui; LIU Guoyan; WANG Hongjie

doi:10.3969/j.issn.1006-2157.2023.01.020

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Discussion on the etiology, pathogenesis and treatment of lymphedema from "Xuanfu opening and closing, collaterals dredging and blocking"

Clinical Studies | 更新时间：2023-02-03

- Discussion on the etiology, pathogenesis and treatment of lymphedema from "Xuanfu opening and closing, collaterals dredging and blocking"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 1, Pages: 120-124(2023)
- 作者机构：
  
  1.山东中医药大学　济南　250355
  2.山东中医药大学附属医院
- 作者简介：
  
  Prof. LIU Zheng, Ph.D., Chief Physician, Doctoral Supervisor. The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No.16369, Jingshi Road, Lixia District, Jinan 250014. E-mail: lz2000jn@163.com
- 基金信息：
  
  Traditional Chinese Medicine Science and Technology Development Plan of Shandong Province(2019-0201);Qilu Medical School Traditional Chinese Medicine Academic School Inheritance Studio Construction Project(鲁卫函〔2021〕45号)
- DOI：10.3969/j.issn.1006-2157.2023.01.020
  CLC： R269
- Received：12 April 2022，
  
  Online First：23 September 2022，
  
  Published：30 January 2023
- 稿件说明：
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LI Yuhan, LIU Zheng, LI Yixuan, et al. Discussion on the etiology, pathogenesis and treatment of lymphedema from "Xuanfu opening and closing, collaterals dredging and blocking"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(1): 120-124. DOI: 10.3969/j.issn.1006-2157.2023.01.020.
DOI：

LI Yuhan, LIU Zheng, LI Yixuan, et al. Discussion on the etiology, pathogenesis and treatment of lymphedema from "Xuanfu opening and closing, collaterals dredging and blocking"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(1): 120-124. DOI: 10.3969/j.issn.1006-2157.2023.01.020. DOI：

摘要

淋巴水肿归属于中医“大脚风”“象皮肿”范畴，初期多为湿邪阻滞，日久多为气滞血瘀、痰湿蕴结。玄府、络脉作为中医所述运行气血津液的微观结构，广泛参与到淋巴水肿的病变过程中。气机不畅，气郁液滞，随后痰瘀互结，化热化火，这一过程与西医所述的淋巴水肿进程中，即淋巴回流障碍、炎症反应、脂肪增生、间质纤维化相一致。淋巴水肿痼结难愈，本文试将玄府－络脉微观结构与中医整体观念相结合，从开玄通络角度对淋巴水肿进行论治，以期为中医药治疗淋巴水肿提供新方向。

Abstract

Lymphedema belongs to the category of "foot wind" and "elephantiasis" in traditional Chinese medicine

which is mostly dampness and evil stasis in the initial stage

qi stagnation and blood stasis for a long time

followed by phlegm and dampness accumulation.

Xuanfu

and collaterals

as the microstructure of running qi

blood

and body fluid described in traditional Chinese medicine

are widely involved in the pathological process of lymphedema

such as the obstruction of qi

stagnation of qi

mutual knot of phlegm and blood stasis

and fire and heat. This process is consistent with the process of lymphedema described in Western medicine

that is

lymphatic reflux disturbance

inflammatory reaction

fat hyperplasia

and interstitial fibrosis. Lymphedema is difficult to heal

this paper aims to combine the microstructure of

Xuanfu

-collaterals with the overall concept of traditional Chinese medicine to treat lymphedema from the perspective of opening

Xuanfu

and dredging collaterals

and this work will serve to provide a new direction for the treatment of lymphedema in traditional Chinese medicine.

关键词

Keywords

references

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Discussion on the etiology, pathogenesis and treatment of lymphedema from "Xuanfu opening and closing, collaterals dredging and blocking"

DOI：10.3969/j.issn.1006-2157.2023.01.020

摘要

Abstract

关键词

Keywords

references