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糖尿病足溃疡"毒损络脉"病机探微

杨剑锋 李友山 夏颐瑄 张宁 张艳 余清璇 张力睿

中医学报2024,Vol.39Issue(7):1408-1412,5.
中医学报2024,Vol.39Issue(7):1408-1412,5.DOI:10.16368/j.issn.1674-8999.2024.07.234

糖尿病足溃疡"毒损络脉"病机探微

Pathogenesis of"Toxin Induced Collateral Damage"in Diabetes Foot Ulcer

杨剑锋 1李友山 2夏颐瑄 1张宁 3张艳 1余清璇 1张力睿1

作者信息

  • 1. 北京中医药大学东直门医院,北京 100700
  • 2. 北京中医药大学东直门医院通州院区,北京 101121
  • 3. 北京中医药大学第三附属医院,北京 100029
  • 折叠

摘要

Abstract

Diabetic foot ulcer wounds are often difficult to heal due to poor granulation tissue generation and failure to establish effective microcirculation.Excessive inflammatory cells infiltration and inflammatory factor release,metabolic waste accumulation,as well as bac-terial infections,might be important cause of undesirable healing.In TCM theory,those above could be regarded as"Toxin of carbun-cle".As a result of diabetes,the ulcer or carbuncle arises from the long-time injury of Zang and Fu and was aggravated by the Qi and Blood stagnation in meridians.The foot back,at the end of the limb,is prone to diabetic foot ulcer when the Toxin is accumulated in the interlacing collaterals.From this prospect,the treatment of it should be dispelling Toxin from interior and drain pus first to remove nec-rotic tissues thoroughly to promote flesh generation,so that the sore is healed.It is believed that"Toxin induced collateral damage"may be the key pathogenesis of diabetic foot ulcer,which is of great significance for the clinical treatment of the disease.

关键词

糖尿病足溃疡/痈疽/消渴/"毒损络脉"/拔毒/托脓去腐

Key words

diabetic foot ulcer/carbuncle/diabetes/"Toxin induced collateral damage"/dispelling Toxin from interior/drain pus to re-move necrotic tissue

分类

医药卫生

引用本文复制引用

杨剑锋,李友山,夏颐瑄,张宁,张艳,余清璇,张力睿..糖尿病足溃疡"毒损络脉"病机探微[J].中医学报,2024,39(7):1408-1412,5.

基金项目

国家自然科学基金项目(81973849) (81973849)

中医学报

OACSTPCD

1674-8999

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