筋之血化与化腐再生法治疗糖尿病足初探

The Primary Exploration of Dissolving rotten to Regeneration Method and the Vascularization of Jin Treating Diabetic Foot

糖尿病足坏疽的转归与肌腱关系密切,变性坏死肌腱的处理直接关系到患肢的保全。临床研究发现创面基底部新生血管长入肌腱并与之粘连,可促使肉芽组织包裹肌腱,从而逆转糖尿病足感染延肌腱扩散,同时促进伤口的愈合,此为慢性创面肌腱的血管化。因肌腱属于中医"筋"的范畴,因此称之为"筋之血化"。化腐再生法即是指导其治疗的中医疗法。

The recovery of the gangrene on diabetic foot is closely related to tendon. The treatment of the degenerated and necrotic tendon is directly related to the preservation of the affected extremity. In clinical research, the new vessels on the basal part of the wound grow into tendon and adhere to it so that the granulation tissue wraps up tendon there by reversing the extended infection on the diabetic foot along tendon and promoting the wound healing, which is called the vascularization of the chronic wounded tendon. As tendon belongs to the category of Jin in traditional Chinese medicine, here we call the whole process as the vascularization of Jin. Under the guidance of vascularization of Jin, dissolving rotten to regeneration Method was developed as the therapy of traditional Chinese medicine.