上海中医药杂志2026，Vol.60Issue(2)：28-32,5.DOI:10.16305/j.1007-1334.2026.z20250505003
基于局气论的难愈性溃疡中医诊治探索
Exploration of traditional Chinese medicine diagnosis and treatment for refractory ulcers based on local qi theory
摘要
Abstract
Refractory ulcers are common intractable clinical conditions with complex pathogenesis.Traditional Chinese medicine(TCM)attributes their pathogenesis to the"insufficiency of yang in transforming qi,and disorder of yin in forming substances".Professor Lu Jingen,building upon the theory of Gu's Surgery School,innovatively proposed the local qi(Juqi)theory,emphasizing that the dysfunction of local qi is a key pathological mechanism underlying refractory wound healing.This theory suggests that the fluctuation of local qi directly affects tissue repair ability:deficient yang leads to weak local qi movement,while imbalanced yin and fluids result in inadequate nourishment of local qi.Moreover,external pathogenic factors such as damp-heat,blood stasis and toxicity obstruct and block the flow of local qi,creating a vicious cycle of deficiency,stasis,and toxicity.The treatment should focus on regulating local qi.For internal treatment,the approach involves tonifying qi,warming yang,and resolving blood stasis to invigorate local qi,nourishing yin and blood to strengthen and moisten local qi,and expelling pathogenic factors while regulating qi and unblocking collaterals to restore the flow of local qi.For external treatment,the innovative development of local oxygen therapy as a"modern qi supplementation method"is introduced,with the research team also releasing the standardized procedure for local oxygen therapy for the first time.关键词
难愈性溃疡/慢性创面/创面愈合/中医药疗法/局气论/名医经验Key words
refractory ulcers/chronic wound/wound surface healing/traditional Chinese medicine therapy/local qi theory/famous doctor's experience引用本文复制引用
陈利利,曹永志,李锋,陆金根..基于局气论的难愈性溃疡中医诊治探索[J].上海中医药杂志,2026,60(2):28-32,5.基金项目
国家中医药管理局全国中医学术流派传承工作室第二轮建设项目(国中医药人教函[2019]62号) （国中医药人教函[2019]62号）
上海市卫健委上海市进一步加快中医药事业传承创新发展三年行动计划项目[ZY(2021-2023)-0209] （2021-2023）
