基于一气周流理论探析糖尿病足的中医导引疗法

Exploring Traditional Chinese Medicine Daoyin Therapy for Diabetic Foot Based on the Theory of One Qi Circulation

认为中医导引疗法在治疗糖尿病足方面具有一定潜力,是黄元御的一气周流理论应用于实践的具体体现。基于八段锦与《诸病源候论》的导引运动方法,编创了糖尿病足导引处方——糖足导引法。基于一气周流的脏腑观念,借用君臣佐使理论初步阐释了糖足导引法的理论基础和功效机制。该导引疗法以卧位动作为主,包含引体、屈膝、仰趾、凤点头、内转太极、两手攀足、收式共七式动作。以“凤点头”与“仰趾”为君,借助卧位足趾开合与点按之势,斡旋中气,以“屈膝”与“内转太极”为臣,膝踝关节屈伸之中可通理肝、肺两经;“引体”和“两手攀足”共为佐助,一方面佐助余式之交通脏腑,另一方面借足太阳与督脉之阳以温化寒湿;“收式”为使,调和诸脏,使气血回归自然周流运转。糖足导引法对脏腑以及人体气机循环具有调节作用,为治疗糖尿病足提供了新思路。

It is believed that traditional Chinese medicine(TCM)Daoyin(conduction exercise)therapy has potential in treating diabetic foot,which is a concrete embodiment of HUANG Yuanyu's theory of one qi circulation applied in practice.Based on Daoyin therapy of Baduanjin and the Origin and Indicators of Disease(《诸病源候论》),a Daoyin prescription for diabetic foot was compiled and created.Based on the zang-fu concept of"One Qi Circulation",combined with the theory of chief,deputy,assistant and envoy,this article explained the theoretical basis and functional mechanism of the Daoyin prescription for diabetic foot.This Daoyin therapy is mainly based on the prone position movements,which includes seven movements,namely,pull-up,knee bending,toe tilting,phoenix nodding,internal rotation of taiji,two hands climbing feet and closing.With"phoenix nodding"and"tilting toes"as the chief,with the help of toes opening-closing and pointing-pressing momentum in prone position,regulating the central qi;with"bending the knee"and"internal rotation of taiji"as the deputy,knee and ankle flexion and extension can unblock the meridians of liver and lungs;with"pull-up"and"two hands climbing feet"as the assistant,on the one hand,assisting to unblock zang-fu organs,on the other hand,applying the yang of the foot taiyang bladder channel and du mai to warm the cold and dampness;with"closing"as the envoy to regulate all organs,so that the blood return to the natural flow of circulation.Diabetic foot Daoyin therapy could regulate internal organs and qi circulation of body,and provides a new idea for the treatment of diabetic foot.