学习古代文献,拓展治疗糖尿病足的思路

Studying ancient literature and expanding therapeutic thinking in treatment of diabetic foot

从箍围的定义及作用、根据局部具体表现辨证选药、箍围法与多种外用方法并用、箍围法与内治法联合应用等几方面,对古代文献中关于痈疽疖肿的外治法进行学习,并将之应用于糖尿病足的治疗中,拓展中医治疗糖尿病足的思路。糖尿病足局部常见湿热内蕴、热毒炽盛、寒湿流注、阳虚血瘀等证型。箍围法与其他的外治法联合应用对局部进行序贯性治疗,发挥不同外治法的优势;外治法与内治法联合应用使局部辨证与整体辨证有机结合,充分发挥中医辨证治疗的特色,外治法可以使药物直达病所,内治法则能改善患者的整体体质;内治、外治联合应用,可促进溃疡向愈。

The ancient literature about treating externally abscess, gangrene and furnncle have been studied from the aspects of definition and effect of encircling therapy, selecting medicinal according to syndromes, and combination of encircling therapy and other external therapies or internal therapies. The external therapy was applied in the treatment of diabetic foot for expanding therapeutic thinking. The common syndrome types of diabetic foot include damp-heat accumulating in the interior, intense heat toxin, cold-damp deep multiple abscess, and yang deficiency and blood stasis. The combination of encircling therapy and other external therapies can treat the disease sequentially expressing the advantages of different external therapies, and the combination of encircling therapy and internal therapies will embody the characteristics of TCM： organic intezrafion of local and holism syndrome differentiation. The external therapies will promote medicinal to reach to focus, and internal therapies can regulate patients＇ constitutions. The combination of external therapies and internal therapies will improve the healing of ulcer.