刘树林基于“通阳不在温”理论分期论治糖尿病足经验介绍
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R587.2;R249

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2025年度广州市基础研究计划市校(院) 企联合资助专题项目(2025A03J3995);广州市科协2022年青年科技人才托举工程项目(QT20220101163)


Introduction to LIU Shulin's Clinical Experience in Stage-Specific Treatment of Diabetic Foot Based on the Theory of "Warming Therapy is Not the Only One Choice for Activating Yang"
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    摘要:

    刘树林结合叶天士“通阳不在温”理论及多年临床经验,提出糖尿病足的病机以脾肾阳虚为本, 湿、热、瘀、毒阻滞为标,属本虚标实之证。临证强调恢复阳气输布通道,并按未溃期、溃烂期及恢复期分期 论治。未溃期以温通为主,治以温补脾肾、散寒除湿、活血通络;溃烂期重在祛邪固本,清热利湿、化瘀解毒 以祛腐生新,兼以健脾温肾;恢复期主张通补兼施,既补益气血、温补脾肾,又通散余邪、调畅气血、疏通 经络。

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    Abstract:Professor LIU Shulin,integrating YE Tianshi's theory of "warming therapy is not the only one choice for activating yang" with decades of clinical experience,proposes that the pathogenesis of diabetic foot is rooted in yang deficiency of the spleen and kidney, with damp, heat, blood stasis, and toxin blockage as the secondary manifestations, belonging to a syndrome of deficiency in root and excess in manifestation. In clinical practice, he emphasizes restoring the pathways for yang qi distribution and adopts a stage-specific treatment approach according to the pre-ulceration, ulceration, and recovery stages. In the pre-ulceration stage, the focus is on warming and unblocking, with treatments aimed at warming and tonifying the spleen and kidney, dispelling cold and removing dampness, and activating blood circulation to unblock collaterals. In the ulceration stage, the priority is eliminating pathogens and reinforcing healthy qi,by clearing heat and draining dampness,resolving stasis and removing toxins to remove necrosis and promote tissue regeneration,while also fortifying the spleen and warming the kidney. During the recovery stage,he advocates for simultaneous unblocking and tonifying,through supplementing qi and blood,warming and tonifying the spleen and kidney, while also dispersing residual pathogens, regulating qi and blood flow, and unblocking the meridians and collaterals.

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李青榕,梁鉴,陈锦燕,林勇凯,刘树林.刘树林基于“通阳不在温”理论分期论治糖尿病足经验介绍[J].新中医,2025,57(24):192-197

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  • 在线发布日期: 2025-12-26
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