【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。更多还原

【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.更多还原