Discussion on TCM treatment of Wagner Grade 0 diabetic foot based on qi and blood theory

Qian WANG; Peijin LI; Lixing LIU; Changgeng FU; Hancheng GU; Weijing FAN; Baozhong YANG

doi:10.3969/j.issn.2095-6606.2022.03.011

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Discussion on TCM treatment of Wagner Grade 0 diabetic foot based on qi and blood theory

更新时间：2022-06-02

- Discussion on TCM treatment of Wagner Grade 0 diabetic foot based on qi and blood theory
- Modern Chinese Clinical Medicine Vol. 29, Issue 3, Pages: 48-51(2022)
- 作者机构：
  
  1.北京中医药大学东方医院　北京　100078
  2.北京中医药大学东直门医院
  3.中国医学科学院肿瘤医院
  4.上海中医药大学曙光医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.03.011
  CLC： R261
- Published：30 May 2022，
  
  Received：29 June 2021，
- 稿件说明：
移动端阅览
Qian WANG, Peijin LI, Lixing LIU, et al. Discussion on TCM treatment of Wagner Grade 0 diabetic foot based on qi and blood theory. [J]. Modern Chinese Clinical Medicine 29(3):48-51(2022)
DOI：

Qian WANG, Peijin LI, Lixing LIU, et al. Discussion on TCM treatment of Wagner Grade 0 diabetic foot based on qi and blood theory. [J]. Modern Chinese Clinical Medicine 29(3):48-51(2022) DOI： 10.3969/j.issn.2095-6606.2022.03.011.

摘要

糖尿病高危足被认为是糖尿病足的早期状态，是指糖尿病患者尚未出现足部溃疡，但已有糖尿病周围神经病变和(或)周围血管病变。中医学认为气血不和是糖尿病高危足发生的关键环节，其病因病机包括：气血两亏，阴损及阳，以虚为本；气滞血瘀，经脉不通，以实为标；卫气失司，营血失和，易感外邪；外邪侵袭，气血亏虚，加重病情。治疗该病的关键为调整气血、平衡阴阳，益气补血、调和阴阳以治本；行气活血、化瘀通络以治标；素体亏虚、不耐攻伐需扶正祛邪。

Abstract

A Wagner Grade 0 diabetic foot is the early stage of the condition

which suggests that the patient develops diabetic peripheral neuropathy and/or peripheral vascular disease without foot ulcers. TCM theories believe that "disharmony of qi and blood" is the root of Wagner Grade 0 diabetic feet. Its etiology and pathomechanism include: qi and blood depletion

yin impairment affecting yang

deficiency as the root; qi stagnation and blood stasis

blockage of meridians

excess as the branch; weakness of

wei

disharmony of

ying

-blood

and subsequent susceptibility to exogenous pathogens; external invasion

worsening deficiency of qi and blood

which aggravates the disease. The key to the treatment is to treat the root by regulating qi and blood

balancing yin and yang

boosting qi and supplementing blood

to treat the branch by moving qi and invigorating blood

dissolving stasis and dredge collaterals

and

for those significantly weakened by the disease and thus unable to withstand the power of the medications

to reinforce healthy qi before dispelling evil.

关键词

气血理论糖尿病高危足糖尿病周围神经病变糖尿病周围血管病变理论探讨

Keywords

qi and blood theoryWagner Grade 0 diabetic footdiabetic peripheral neuropathydiabetic peripheral angiopathytheoretical discussion

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