彭珣 李定祥 李钰佳 邓奕辉

    〔摘要〕 络病学具有重要的理论价值和临床价值。从络病学角度分析2型糖尿病(type 2 diabetes mellitus， T2DM)并发脑梗死的病机演变，其病变是从局部到整体，再从整体到局部的演变过程。络脉气血功能异常、脑络瘀阻梗塞是T2DM并发脑梗死发生、加重的根本原因，临证时以治疗T2DM及络脉受损为基础，以通脑络为治疗重点，在辨别不同证候的基础上选用通脑络之药，如辛味通络药、虫类通络药、荣养络脉药等，对T2DM并发脑梗死的防治可以起到良好的效果。

    〔關键词〕 络病学说;2型糖尿病;脑梗死;病机演变;脑络

    〔中图分类号〕R255.4;R587.1? ? ? ?〔文献标志码〕A? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.08.017

    Discussion on Evolution of Pathogenesis of Type 2 Diabetes Mellitus Complicated with

    Cerebral Infarction From Perspective of Science of Collateral Disease

    PENG Xun， LI Dingxiang， LI Yujia， DENG Yihui*

    (Hunan University of Chinese Medicine， Changsha， Hunan 410208， China)

    〔Abstract〕 The science of collateral disease has important theoretical and clinical value. Analyzing the evolution of the pathogenesis of type 2 diabetes mellitus complicated with cerebral infarction from the perspective of the science of collateral disease is an evolution process from part to whole， and then from whole to local. The root cause of the occurrence and aggravation of diabetes mellitus complicated with cerebral infarction is the abnormal function of Qi and blood in collaterals and the stasis blocking of cerebral collateral. The clinical diagnosis is based on the treatment of diabetes and collaterals damage ......