通讯作者: 于本性, 1428564431@qq.com

DOI：10.12201/bmr.202602.00008

Discussion?on?the?treatment?of?diabetic?peripheral?neuropathy?with?five-shu?acupoints?acupuncture?guided?by?Renying?Cunkou?pulse?method

• 摘要：糖尿病周围神经病变（DPN）在中医范畴归属“消渴病痹症”，其核心病机为气阴两虚、痰瘀阻络、阴阳失衡，经络气血运行失常是病变发生发展的关键环节，直接影响肢体气血濡养状态。人迎寸口脉法源自《内经》中的古典针灸脉诊体系，通过辨识人迎脉与寸口脉的盛衰对比，可精准判断人体阴阳盛衰、经络气血盈亏及病邪深浅，为经络辨证与治法选择提供客观依据；五输穴作为经络气血输注的关键节点，其“井、荥、输、经、合”的气血流注特性及阴阳五行属性，与DPN不同阶段的病机演变直接对应。本文从中医经典理论溯源，探讨人迎寸口脉法“辨阴阳、明经络、定虚实”的核心优势，结合五输穴“调气血、和阴阳、通经络”的治疗特点，构建“脉法辨证－经络定位－五输选穴”的治疗思路，阐明脉法指导下五输穴针刺“调和阴阳、疏通经络、补虚泻实”的作用机制，为DPN的中医精准治疗提供理论支撑与临床参考。

  关键词： 人迎寸口脉法; 五输穴; 糖尿病周围神经病变; 经络辨证; 针刺治疗; 黄帝内经

   

  Abstract: Diabetes?peripheral?neuropathy?(DPN)?of?traditional?Chinese?medicine?belonging?collateral?poliomyelitis?category,?qi?and?Yin?deficiency,?phlegm?and?blood?stasis?resistance?network,?the?imbalance?of?Yin?and?Yang?constitutes?the?core?of?pathogenesis,?pathological?changes?occurred?in?the?development?of?key?lies?in?the?meridian?qi?dysfunction,?the?pathological?characteristics?of?directly?related?body?blood?moisten?the?state.??The?Renying?Cunkou?pulse?method?is?derived?from?the?classical?pulse?diagnosis?system?of?acupuncture?and?moxibustion?in?the?Neijing.?By?identifying?the?rise?and?fall?of?renying?pulse?and?Cunkou?pulse,?it?can?accurately?judge?the?rise?and?fall?of?Yin?and?Yang?in?the?human?body,?the?rise?and?fall?of?qi?and?blood?in?the?meridians?and?the?depth?of?disease?factors,?so?as?to?provide?an?objective?basis?for?the?differentiation?of?meridians?and?the?selection?of?treatment?methods.??As?the?key?nodes?of?meridian?qi?and?blood?transfusion,?the?five-shu?points?(well,?xing-stream,?shu-stream,?shu-stream,?meridian,?and?he-sea)?and?their?qi?and?blood?flow?characteristics?and?Yin?and?Yang?attributes?directly?correspond?to?the?pathogenesis?of?DPN?at?different?stages.??Based?on?the?classical?theory?of?traditional?Chinese?medicine,?this?paper?discusses?the?core?advantages?of?the?Renying?Cunkou?pulse?method?of?distinguishing?Yin?and?Yang,?clarifying?meridians,?and?fixing?deficiency?and?excess,?combined?with?the?treatment?characteristics?of?the?five-shu?points?of?regulating?qi?and?blood,?harmonizing?Yin?and?Yang,?and?clearing?meridians,?and?establishes?the?treatment?idea?of?pulse?method?syndrome?differentiation,?meridian?positioning,?and?five-shu?point?selection.??This?paper?elucidates?the?mechanism?of?five-shu?point?acupuncture?under?the?guidance?of?Mai?method?to?harmonize?Yin?and?Yang,?dreg?meridians,?tonifying?deficiency?and?reducing?excess,?so?as?to?provide?theoretical?support?and?clinical?reference?for?the?precise?treatment?of?DPN.

  Key words: Ren?ying?Cunn?oral?pulse?method; ??Five-shu?points; ??Diabetic?peripheral?neuropathy; ??Meridian?syndrome?differentiation; ??Acupuncture?treatment; ??Huangdi?Neijing

  提交时间：2026-02-04

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 朱千君, 赵成玉. 尿酸与糖尿病周围神经病变的相关研究进展. 2024. doi: 10.12201/bmr.202408.00019

  朱迪, 丁蕊, 赵一璇, 岳仁宋, 张博荀. 基于“五体理论”辨治糖尿病足. 2025. doi: 10.12201/bmr.202511.00031

  韩秀娟, 陈曦, 李文睿, 丁蓉, 申瑞琳. 奥沙利铂致急性周围神经毒性的机制及治疗研究进展. 2025. doi: 10.12201/bmr.202506.00065

  李彬, 柳直, 姚五平, 王哲, 陈柯伊. 基于黄帝内经探讨“五体理论”在肩袖损伤术后的康复应用. 2025. doi: 10.12201/bmr.202504.00031

  李雅瑜, 王鹏. 基于数据挖掘技术探讨针灸治疗髌下脂肪垫损伤的选穴规律. 2025. doi: 10.12201/bmr.202512.00025

  苏吾德, 王雁, 赵勇. 抗氧化剂在糖尿病视网膜病变中的治疗潜力与机制研究. 2025. doi: 10.12201/bmr.202507.00069

  唐媛, 刘月红, 卢璇, 丁超菲, 金福碧, 陈皑皑, 孙红儿. 糖尿病视网膜病变患者健康教育的研究进展. 2025. doi: 10.12201/bmr.202507.00049

  闫爽儿, 白小林, 张泽群. 基于“五脏元真通畅”理论辨治甲状腺结节. 2025. doi: 10.12201/bmr.202506.00063

  鲁雪珂, 翁思颖, 周建扬. 周建扬教授基于“卫出下焦”论治糖尿病泌汗异常经验. 2025. doi: 10.12201/bmr.202506.00016

  徐建杭, 刘亚楠, 詹明, 韩飞. 非奈利酮治疗糖尿病肾病的研究进展与展望. 2024. doi: 10.12201/bmr.202410.00033

• 序号	提交日期	编号	操作
  1	2025-12-03	10.12201/bmr.202602.00008V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论