中医药治疗糖尿病足的研究进展

Research progress on treatment of diabetic foot by traditional Chinese medicine

关键词:  糖尿病足  中医药  辨证论治  外治法

Key words:  diabetic foot  traditional Chinese medicine  syndrome differentiation and treatment  external therapy

摘要:

糖尿病足是糖尿病最常见的严重慢性并发症之一，较高的发病率与致残率显着降低了患者生活质量，造成巨大的经济与社会负担。糖尿病足的常见病因病机主要为先天禀赋不足、饮食不节、情志内伤、劳逸失度、跌扑损伤，而致气阴两虚、气血瘀滞、脉络瘀阻、湿热毒盛、脾肾阳虚等。其治疗主要涉及内治法、外治法以及其他疗法。其中，内治法通过辨证分期、分型论治，结合传统专方验方、单味药物等进行治疗，取得良好的效果，而富于特色的中医外治法则在辨证基础上，通过敷贴、清创、熏洗、艾灸、针灸等疗法获得显着疗效。但辨证分型不规范、临床与基础研究方案欠科学、临床疗效判定标准不统一等问题仍有待解决与改善。

Abstract:

Diabetic foot (DF) is one of the most severe chronic complications of diabetes mellitus. It not only decreases the patient's quality of life but also brings huge financial and social burden. It is well known that traditional Chinese medicine (TCM) has great advantage in treating DF than western medicine. The TCM theory believes that the congenital deficiency, irregular diet, internal injury of emotion, unbalanced working and resting, tumble injury lead to the occurrence of DF. The pathogenesis relates to deficiency of qi and yin, stagnation of qi and blood stasis, choroids blood stasis, dampness-heat toxicity, yang deficiency of spleen and kidney and so on. The internal therapies focus on syndrome differentiation and treatment, classical and special prescription, and single medicine. The external therapies include acupoint sticking therapy,debridement therapy, steaming and washing therapy, moxibustion and acupuncture therapy, etc. All of these therapies receive satisfactory effects.