基于《外科证治全生集》探讨糖尿病足溃疡的中医病因病机及治疗原则  

Exploring the etiology,pathogenesis and treatment principles of diabetic foot ulcer in TCM based on the Life-saving Manual of Diagnosis and Treatment of External Diseases

作　　者：黄琦 龚光明[2] HUANG Qi;GONG Guangming(Clinical Medical College,Chengdu University of Traditional Chinese Medicine,Sichuan,Chengdu 610075,China;Department of Endocrinology,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan,Chengdu 610036,China)

机构地区：[1]成都中医药大学临床医学院,四川成都610075 [2]成都中医药大学附属医院内分泌科,四川成都610036

出　　处：《中国医药科学》2024年第19期102-105,共4页China Medicine And Pharmacy

基　　金：四川省中医药管理局科学技术研究专项课题(2022CP3296)。

摘　　要：糖尿病足溃疡(DFU)是糖尿病患者致残和致死的主要原因之一,由于其复杂的病理机制和多种并发症的影响,导致疾病预后效果很差,临床病死率和致残率甚至比大多数癌症都要高。对于DFU的病理生理机制和病因需要更深入的研究。了解疾病的发病机制和病因有助于更好地制订治疗方案和预防措施,为患者提供更好的治疗。《外科证治全生集》被誉为“阳虚阴实”的精髓,它汇集了清代著名医学家王维德四十多年的临床实践,为解决DFU的复杂性、持久性、安全性、效果及预后提供了宝贵的参考,在当今社会,它仍然具备极强的指导意义。故本文基于《外科证治全生集》对临床DFU病因及治疗方法进行探讨,以期为临床提供新的辨证及治疗思路。Diabetic foot ulcer(DFU)is one of the main causes of disability and death in patients with diabetes.Due to its complex pathological mechanism and the impact of various complications,the prognosis of the disease is poor,and the clinical mortality and disability rate are even higher than most cancers.Further research is needed on the pathophysiological mechanisms and etiology of DFU.Understanding the pathogenesis and etiology of diseases helps to develop better treatment plans and preventive measures,providing better treatment for patients.The Life-saving Manual of Diagnosis and Treatment of External Diseases is known as the essence of"yang deficiency and yin excess".It gathers the clinical practice of the famous medical expert Wang Weide in the Qing Dynasty for more than 40 years,providing valuable reference for solving the complexity,persistence,safety,effectiveness,and prognosis of DFU.In today’s society,it still has strong guiding significance.Therefore,based on the Life-saving Manual of Diagnosis and Treatment of External Diseases,this study explores the etiology and treatment methods of clinical DFU,in order to provide new differentiation and treatment ideas for clinical practice.

关 键 词：糖尿病足溃疡 《外科证治全生集》 病因病机 治疗原则 

分 类 号：R26[医药卫生—中医外科学]