四川中医2025，Vol.43Issue(10)：72-78,7.DOI:10.26946/j.cnki.1000-3649.sczy.2505150006
基于"热伏营血,瘀滞孙络"探讨糖尿病足溃疡的治疗思路
Exploring treatment approach for diabetic foot ulcer based on the theory of"heat entering nutrient blood and stasis obstructing tertiary collaterals"
摘要
Abstract
Diabetic foot ulcer(DFU)significantly impacts patients'quality of life.Based on the theory of"heat entering nutrient blood and stasis obstructing tertiary collaterals",the review explores the feasibility and rationale for DFU treatment.It proposes that DFU primarily stems from inherent deficiency(ben xu),characterized by constitutional Yin deficiency and insufficiency of the spleen and kidney.Concurrently,it features manifest excess(biao shi)with the pathogenesis of heat entering nutrient blood and stasis obstructing tertiary collaterals.This combination of root deficiency and manifest excess,where stasis and heat intertwine,leads to multiple complications and renders DFU refractory to healing.Treatment should address both the root and the manifestations.The proposed principles involve tonifying the spleen and kidney,boosting Qi,and nourishing Yin to treat the root(ben),combined with clearing heat,cooling blood,dissipating stasis,and unblocking collaterals to treat the manifestations(biao),forming the"tonifying,clearing and dispersing"formula strategy to offer innovative perspectives for clinical DFU management.This forms the formula design strategy of"tonifying,clearing and dispersing",aiming to provide new perspectives for the clinical management of DFU.关键词
糖尿病足溃疡/脾肾不足/热伏营血/瘀滞孙络Key words
Diabetic foot ulcer/Spleen and kidney insufficiency/Heat entering nutrient-blood aspects/Stasis obstructing tertiary collateral vessels分类
中医学引用本文复制引用
李想,宋莹莹,郭海..基于"热伏营血,瘀滞孙络"探讨糖尿病足溃疡的治疗思路[J].四川中医,2025,43(10):72-78,7.基金项目
国家自然科学基金项目(82474211) （82474211）
国家中医药管理局高水平中医药重点学科建设项目资助(国中医药人教函[2023]85号) （国中医药人教函[2023]85号）
江苏省中医药科技发展计划项目(MS2023003) （MS2023003）
南京市中西医结合疫病研究中心科研基金资助项目(NCMIC-2022-06) （NCMIC-2022-06）
南京中医药大学青年教师发展"双百计划"(南中医大人字[2024]48号) （南中医大人字[2024]48号）
2024年度国家级大学生创新创业训练计划项目(202410315024Z). （202410315024Z）
