维吾尔医对糖尿病足病变的治疗和认识

The Treatment and Recognization of Diabetic Pedopathy in Uygur Medicine

糖尿病神经病变、周围血管病变及伴随的继发感染造成糖尿病足病变 ,称糖尿病足 ,本病发生在糖尿病的中晚期 ,此时病情较复杂 ,属于维吾尔医“消渴 +脱疽”的范畴 ,和传统中医理论相似。采用了传统维吾尔医的四大“何里提”学说和体液学说的辨证法 ,消渴病分为 :血液质内混合黑胆汁质、粘液质内混合黑胆汁质、胆汁质内混合黑胆汁质等 3型。方用滋芽比体汤 1、 2、 3号 ,调节“何里提”及活血通脉、化瘀通络、滋阴凉血、补肾固精法的内服药物 ,采用敷贴法及浸泡法等外用药物达到破血去腐、生肌、活血散结、消肿止痛的目的 ,同时结合现代医学的适时开放创口、充分引流等各种治疗方法 ,取得较满意的效果。

Neuropathy, peripheral vascular Disease and secondary infection resulted from diabetes also can cause diabetic pedopathy, this disease is rather complicate and usually occurs in the middle-late period of diabetes. Being similar to TCM, it belongs to Diabetes+ Gangrene of toe in Uygur medicine. diabetic pedopathy is divided into three type (black choler nature mixed into blood nature, black choler nature mixed into phlegm, black choler nature mixed into choler nature) in this paper based on Four Heliti and dialectical theory of body fluid of traditional Uygur medicine. Adjusting Hliti, promoting blood circulation to dredge the meridian passage, cooling the blood, invigorating the kidney with diabetes decoction 1, diabetes decoction 2 and diabetes decoction 3 by internal application, promoting blood circulation, dispersing the accumulation of evils, dispelling swelling and relieving pain with external drug, at the same time, some modern medical techniques are adopted such as fully drainages. the results of various curative methods are satisfied.