{"nowTime30":1711713387662,"lyBarModerator":null,"metaSearch":{"description":" 脉管炎属于中医脱疽、脱骨疽的范畴,中医将其分为五种类型:脉络寒凝型、脉络淤血型、脉络痰热型、脉络毒热型、气血两虚型,各种类型的表现和治疗方法不同。以下小编给大家介绍中医辩证治疗脉管炎的具体方法。\n 脉络寒凝型\n 症见患肢寒冷、苍白,疼痛,酸胀麻木,遇冷诱发或加重,遇热后可缓解,间歇性跛行。远","keywords":"脉管炎的中医治疗方法_洞医","title":"脉管炎的中医治疗方法_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1671","isDel":0,"createAt":1483439337269,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院普外科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医网为您提供:基本外科 协和、北京协和医院普外科、北京协和基本外科病友的治疗经验等相关信息,让您在便捷的求医路上不花一分冤枉钱。_洞医\",\"keywords\":\"基本外科 协和_北京协和医院普外科_北京协和基本外科_北京协和医院普通外科_洞医\",\"title\":\"基本外科 协和_北京协和医院普外科_北京协和基本外科_北京协和医院普通外科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"4658","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"脉管炎在生活有哪些可以预防措施?","content":"
脉管炎在生活应该注意哪些?有哪些措施可以预防脉管炎?
\n(一)避免外伤
\n患者应避免外伤,特别是患肢。因脉管炎病人肢体血液循环不畅,抗病能力差,受到外伤后伤口极易感染,创口不易愈合。所以必须要患者保护好缺血的肢体,病人必须穿宽大、舒适的鞋袜,避免因局部摩擦引起擦伤;趾甲应及时修剪,以免过长撕裂损及皮肉,亦不得在修剪时损及皮肉;嵌甲、鸡眼、胼胝等足部疾患在处理时亦不可伤及内部组织和血管,伤后不可擅自涂抹刺激性较大的药物,以防引起化学性损伤。因为这些强烈的化学药品(如碘酒)涂抹后,不但收不到预期的效果,反而会使局部组织受到更大的损害。
\n(二)不要吸烟
\n(三)患肢锻炼
\n功能锻炼不仅可以防止肌肉萎缩,而且使肢体的血流量增加,促使血管侧支开放,保持肢体活动能力。但是,患肢锻炼不能操之过急,活动量要适当。因为患肢本身处于缺血状态,过度活动时必然加重症状。这里所说的活动适当,就是以不引起肢体疼痛为度。
\n(四) 注意饮食调养
\n饮食宜清淡、富有营养的食物,多吃蔬菜水果,多饮水,多食黑木耳,少吃或不吃黏性食物,如年黍米面、年糕、芝麻糖之类,这些食物可使血液黏稠度增加,血液流动速度缓慢,而引起血栓形成,使原已狭窄的动脉完全阻塞。可在医生指导下服用小剂量阿司匹林。保持心情舒畅,以饱满的激情、充沛的精力去生活、学习和工作。发现初期症患者要及时到医院诊断,并积极治疗,做到早发现、早治疗。
\n(五)其他注意事项
\n1、坚持按时、按疗程服药治疗,不要任意中断。2、在治疗期间,每天要保持足够的睡眠(8-12小时)。3、服药中需忌酒及辛辣刺激物品。4、不要擅自用药,特别是麻醉药、消炎药,越用病情越重,后果非常危险。
\n(六)避免寒冷刺激
\n在寒冷季节要适当保暖。寒冷将使血管收缩,血流量更加减少,缺血引起的症状愈加严重。这说明肢体的保暖的重要性。脉管炎病人在家中调养措施有:1、病人衣服宜宽大、保暖,不得过小、过紧,影响血液运行,更不可使患肢受寒。2、冬季病人应准备特制的棉衣、棉袜、棉鞋以保护患肢,这些防寒衣物以穿脱方便、保暖性强为原则。3、除患肢局部坏死外,均应每日用温热水泡洗患肢一次,如用对症的洗药则更好。4、局部可用热水袋或中药敷。
\n","barId":"1671","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1094","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"脉管炎的饮食护理措施","content":"
许多脉管炎患者没有重视后期的护理工作导致病情反复,病情的反复给患者的身体和心理造成了双重的伤害,因此,治疗后的护理工作一定要做好。
\n一、脉管炎的护理措施:
\n1、彻底戒烟。能否彻底戒烟是脉管炎能否长期控制的关键,烟草中有害物质会对血管造成伤害,不利于血液循环,治疗期间吸烟会恶化病情,治愈后会促使疾病的复发。患者应坚决彻底吸烟。
\n2、注意保暖。做好保暖工作,寒冷会使血管收缩,长期如此就会引起脉管炎复发,患者应使足部处于温暖干燥环境,平时应穿松软的鞋子,不要压迫脚部。
\n3、谨慎修剪指甲。修剪指甲时要特别留意,不要剪的过深,要齐平适当,不好修剪最好到专门地方去修剪。修指甲不小心弄破造成外伤就会引起病情复发。
\n4、避免外伤。应避免冻伤、烫伤、擦伤等各种外伤,外伤很容易使血管破裂,引发溃疡,难以愈合。 5、坚持锻炼。锻炼可增强体质和抵抗力又可改善血液循环,有利于防止感染,避免发生下肢坏死。
\n6、节制性生活。脉管炎与性激素紊乱有关,前列腺功能紊乱和前列腺液丢失过多会引发脉管炎的复发。 7、饮食宜忌。少吃刺激性食物,少饮酒,多吃易消化且营养高的东西,多吃水果和新鲜蔬菜。
\n二、脉管炎的饮食原则
\n1、饮食宜清淡、富有营养的食物,多吃蔬菜水果,多饮水,多食黑木耳。
\n2、少吃或不吃黏性食物,如年黍米面、年糕、芝麻糖之类,这些食物可使血液黏稠度增加,血液流动速度缓慢,而引起血栓形成,使原已狭窄的动脉完全阻塞。
\n对于脉管炎患者,可用下述食疗改善血管的弹性,避免血管硬化以及破溃。具体食疗方如下述:
\n1、丹参酒:白酒500克,紫丹参90克,浸泡一周后,每次饮30毫升,1日1-2次。适用于脉管炎初期肢冷麻木者。
\n2、赤豆煮米仁:赤豆100克,生熟米仁各30克,红枣7枚,红糖适量,著熟后服食。适用于肢体浮肿者。 3、黄豆冬瓜皮汤:冬瓜皮60克,黄豆60克,清水3碗,煎至1碗,去渣饮用。适用于患肢浮肿,全身贫血者。
\n4、赤豆桃仁莲藕汤:桃仁15克,赤豆60克,莲藕100克,洗净切成小块,加清水适量煮汤,以食盐少许调味,饮汤食赤豆及莲藕。适用于肢冷血脉不和者。
\n5、桑椹汤:桑椹子60克,加清水3碗,煎至1碗半。用白砂糖或红糖适量调味,去渣饮用。适用于腰酸头晕者。
\n","barId":"1671","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2013","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"剖腹产肠粘连做什么检查","content":"
大便干燥,没有便意,打隔,不排气,腹部有包块,有气排不出,用开塞露,便羊粪蛋,现在怀疑肠粘连,吃中药调里也是顶药,过后还是那样。我还需要做怎样检查
","barId":"1671","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2312","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"希望缓解肠粘连,能吃点饭","content":"肠粘连造成时而肠梗阻、或半阻,近日又发作,打了几天吊瓶,目前喝水也有左下腹疼、堵置感
希望缓解肠粘连,能吃点饭
","barId":"1671","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1475","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"脉管炎的早期症状有哪些","content":"脉管炎给患者带来的危害非常大,如果不能及时采取治疗,将会面临截肢的危险,让患者痛苦不堪。由于脉管炎的早期症状表现并不是很明显,所以很难发现,导致患者不能在第一时间去进行治疗。下面我们就来说一下脉管炎的早期症状有哪些。
\n脉管炎是一种常见血管炎症,这种疾病在寒冷北方发病率较高,这是因为寒冷、吸烟、外伤感染等等因素,都是脉管炎的病因要素,脉管炎发生以后,患者在前期表现为,脉管炎患者出现肢体末端发凉、怕冷、麻木、轻度疼痛,间歇性跛行等症状。脉管炎患者的趾部皮色变苍白,皮肤温度低,脉管炎患者末梢动脉波动减弱或消失,部分脉管炎患者可反复出现,游走性血栓性浅静脉炎,具体说来,脉管炎的症状,主要表现在以下几个方面。
\n第一、皮肤色泽改变。脉管炎患者的患肢在患病后,因动脉缺血使皮色异常苍白,由于浅静脉张力减低,皮肤在苍白的基础上也会出现潮红或青紫,患者在肢体下垂时更为明显。
\n第二、发凉和感觉异常。脉管炎患者的患肢发凉、怕冷,对寒冷十分敏感,尤其以趾端最为明显,患者因神经末稍受缺血的影响,患肢可出现疼痛感、针刺感、麻木感、烧灼感等异常感觉。
\n第三、疼痛。脉管炎一旦发病后,患者就会感觉到疼痛,在早期脉管炎患者,一般在一定的速度下,行走一定的路程,会感到小腿或脚掌酸困、疼痛,被迫休息或慢走才能缓解,早期脉管炎患者的疼痛较轻,而到了晚期,患者病情加重,脉管炎患者的疼痛也将会加重。
\n第四、动脉搏动减弱或消失。脉管炎患者随着病情的不断发展,足背及胫后动脉搏动消失或减弱,同时皮肤干燥、破裂,汗液停止,无汗毛,指(趾)甲增厚、变形,形成甲沟炎等营养障碍。
\n","barId":"1671","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"1653","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"脉管炎溃疡是怎么回事","content":"
脉管炎溃疡是怎么回事呢?脉管炎如果出现溃疡的情况说明病情发展的比较严重,因为溃疡是脉管炎的症状,而且是晚期的症状,一旦发生溃疡应该及时的处理伤口,避免发生感染,具体请看下面的介绍。
\n脉管炎 患处溃烂的主要原因是由于皮肤动脉血流的严重受损和静脉血液排出受阻造成的。
\n局部缺血性溃疡是阻塞性动脉疾病的一个主要的临床症状。尤其是在闭塞性动脉硬化和脉管炎患者中最为多见。因局部缺血造成的溃疡可产生严重的疼痛,同时伴有一间歇性跋行。足跟、手指及足趾为缺血性溃疡的好发部位,溃疡一也可在其他一些易受损伤的部位发生。整个溃疡可透穿深筋膜,显露肌肉和肌键,甚至烂至骨骼。如果是因为糖尿病所致的溃疡,常伴有继发性感染,并引起淋巴结、淋巴管炎及发热等症状。
\n动脉血流不畅造成的溃疡。当流入肢体的动脉血液减少至最低限度时,那么,输人肢体的营养便不足以维持组织静止时的代谢需要,这时,只要有轻度的损伤和感染,很容易就会发生溃疡。
\n所以说脉管炎患者如果因为治疗或者护理不当很容易就会出现溃烂现象。那样,不仅会使疼痛加剧还会导致治疗难度大大增加。因此,脉管炎患者一定要学会基本的护理知识,尽量避免患处溃烂。
\n护理脉管炎最主要的一点就是要注意患处的保暖,尤其是下肢,足部更要注意,受寒会病情更加恶化。同时,不要吸烟也尽量不要喝酒。脉管炎患处如果出现溃烂也不要随便的乱用药物,要即使去医院根据医生的诊断来确定治疗方法。
\n以上为大家介绍了脉管炎溃疡的情况,这是脉管炎的症状,需要及时的进行治疗,避免出现溃烂,会导致患者的危险大大提升,甚至有节食的危险,因此应该加强护理,避免出现溃疡的情况。
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脉管炎属于中医脱疽、脱骨疽的范畴,中医将其分为五种类型:脉络寒凝型、脉络淤血型、脉络痰热型、脉络毒热型、气血两虚型,各种类型的表现和治疗方法不同。以下小编给大家介绍中医辩证治疗脉管炎的具体方法。
\n脉络寒凝型
\n症见患肢寒冷、苍白,疼痛,酸胀麻木,遇冷诱发或加重,遇热后可缓解,间歇性跛行。远端动脉搏动功减弱或消失,舌淡紫,苔白润。治宜:温经散寒,活血通络。治疗可选用:阳和丸、独活寄生丸,右归丸、金匮肾气丸等。
\n脉络淤血型
\n症见患肢寒冷,酸麻胀痛,间歇性胀痛症状加重,可有静息痛,夜间痛甚。皮肤紫约,动脉搏动减弱或消失,舌质紫间或有瘀斑。治宜:活血化淤,通络止痛。治疗可选用:活血化淤丸、复春片、抗栓保荣胶囊、复方丹参片、血府逐淤丸等。
\n脉络痰热型
\n症见患肢发热,遏热后疼痛加重,呈间歇性破行严重,夜间静息痛,影响睡眠。腮部紫暗,部分人有患部游走性红肿条索出现,疼痛较重,舌紫暗,苔薄黄腻。治宜:清热,活血,止痛。治疗可选用:毛冬青片、毛冬青注射液、三妙丸、如意金黄散等。
\n脉络毒热型
\n症见患肢发热红肿,破溃或坏疽,流脓不止,疼痛难忍,夜间难以人睡,动脉搏动减弱或消失。舌红或练,苔薄黄腻或焦黑。治宜:清热解毒,化波止痛。治疗可选用:大败毒膏、西黄丸、通塞脉片等。
\n气血两虚型
\n症见患肢红热,疼痛,疮面光如镜面,无脓或少脓,日久不愈。全身乏力,气短,心悸,消瘦,食欲不振,舌淡有齿痕,苔薄白或光无苔。治宜:补益气血,和营生肌。治疗可选用:代参膏、通塞脉片、人参养荣丸、八珍益母丸、两仪膏、生肌玉红膏等。
\n综上所述,中医辩证治疗脉管炎可分为以上五种常见的类型,在具体治疗时以上药物仅供参考,详情需要咨询医生。
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