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于鸿妲,闫英,王羽侬,穆晓红,张文君,郑东京,杜悦,杨诗会,郑佩勳.糖尿病高危足的中医认识与证治经验[J].湖南中医药大学学报英文版,2020,40(9):1119-1122.[Click to copy
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| 糖尿病高危足的中医认识与证治经验 |
| 于鸿妲,闫英,王羽侬,穆晓红,张文君,郑东京,杜悦,杨诗会,郑佩勳 |
| (北京中医药大学第三附属医院, 北京 100029;北京中医药大学东直门医院, 北京 100029) |
| 摘要: |
| 糖尿病高危足是糖尿病足的前期阶段，尚未破溃，但已有周围神经病变和周围血管病变等危险因素，需要及时治疗，防止其发展为糖尿病足溃疡，降低伤残率。中医治疗有独特优势，其病机以气阴两虚为本，血脉瘀阻为标，伤及络脉。治疗上标本兼顾，治法为益气养阴、活血化瘀，重视虫类药物的应用以逐瘀通络。本文总结临床治疗糖尿病高危足的经验，为临床治疗提供思路和方法。 |
| 关键词: 糖尿病高危足 糖尿病周围神经病变 周围血管病变 络脉 虫类药物 |
| DOI：10.3969/j.issn.1674-070X.2020.09.015 |
| Received:March 31, 2020 |
| 基金项目:北京市自然科学基金资助项目（7182102）；北京中医药大学新教师启动基金项目（2019-JYB-XJSJJ-038）。 |
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| Understanding and Experience of Traditional Chinese Medicine in Treating Diabetic High-risk Foot |
| YU Hongda,YAN Ying,WANG Yunong,MU Xiaohong,ZHANG Wenjun,ZHENG Dongjing,DU Yue,YANG Shihui,ZHENG Peixun |
| (The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100029, China) |
| Abstract: |
| High-risk diabetic foot is the early stage of diabetic foot, which has not yet ruptured, but there are risk factors such as peripheral neuropathy and peripheral vascular disease. It needs timely treatment to prevent its development into diabetic foot and reduce the disability rate. Traditional Chinese medicine treatment has unique advantages. Its pathogenesis is based on the deficiency of both Qi and Yin, and blood stasis is the manifestation, which hurts the collateral meridians. Both manifestations and root causes should be taken into consideration for treatment. The treatment method is to benefit Qi and nourish Yin, promote blood circulation and remove blood stasis, and pay attention to the application of insect drugs to remove blood stasis. |
| Key words: diabetic high-risk foot diabetic peripheral neuropathy peripheral vascular disease collateral meridians insect drugs |
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