曹烨民运用扶正清解法治疗糖尿病足经验介绍
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R249;R587.2

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国家自然科学基金(82174382);国家中医药管理局全国基层名老中医药专家曹烨民传承工作室建设项目(Z155080000004);上海市 卫健委临床研究专项(20224Y0387);上海市市场监督管理局标准化试点项目(S22-04-18);上海市虹口区卫生健康委员会中医药 科研课题(HKQGYQY-ZYY-2022-05);上海市虹口区第二轮“国医强优”三年行动计划(HKGYQYXM-2022-07)


Experience Introduction of CAO Yemin in Treating Diabetic Foot with Method of Reinforcing Healthy Qi and Clearing Pathogens
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    摘要:

    介绍曹烨民运用扶正清解法治疗糖尿病足的临床经验。曹烨民教授认为,糖尿病足因虚感邪、因 邪致瘀,治当扶正为本、祛邪为先,善用扶正清解法。临证重视分期辨治,精准把握治疗时机。前驱期以湿阻 脉络、肝肾亏虚为主,予清脉健步方清脉利湿、补肾强骨。急性期湿热毒邪炽盛,以清解为主,予凉血和营方 清热凉血、和营解毒,提倡“祛邪为先,尽早切开引流(宜早不宜迟),尽早建立护场”。好转恢复期正虚邪 恋,以扶正为主,清解为辅,予扶正清解方扶阳固本、益气托毒,提倡“煨脓长肉、肉白骨”。

    Abstract:

    Abstract: This paper introduces Professor CAO Yemin's clinical experience in treating diabetic foot with the method of reinforcing healthy qi and clearing pathogens. Professor CAO believes that diabetic foot is caused by deficiency leading to susceptibility to pathogens, and then pathogens cause stasis. Therefore, the treatment should focus on reinforcing healthy qi as the foundation and dispelling pathogens as the priority,with a skilled application of the method of reinforcing healthy qi and clearing pathogens. In clinical practice,he emphasizes syndrome differentiation and treatment based on stages,accurately grasping the timing of treatment. In the early stage,the main syndromes are dampness obstructing the collaterals and deficiency of liver and kidney,for which Qingmai Jianbu Prescription is used to clear the collaterals and drain dampness,as well as supplement the kidney and strengthen bones. In the acute stage, the damp-heat and pathogens are excessive,and the treatment focuses on clearing and releasing them. Liangxue Heying Prescription is used to clear heat and cool the blood, as well as harmonize the nutrient qi and resolve toxins. He advocates "dispelling pathogens first,performing incision and drainage as early as possible (the sooner,the better), and establishing protection as soon as possible." In the convalescence stage,when the healthy qi is weak and pathogens linger, the treatment focuses on reinforcing healthy qi, supplemented by clearing pathogens. Fuzheng Qingjie Prescription is used to reinforce yang and consolidate the root, as well as boost qi, and expel toxins. He advocates "promoting granulation tissue growth and bone healing through the application of roasting pus."

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邓俊林,王御震,祁菲,殷康力,梁志强,徐洪涛,指导:曹烨民.曹烨民运用扶正清解法治疗糖尿病足经验介绍[J].新中医,2025,57(6):193-199

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  • 在线发布日期: 2025-03-26
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