基于《刘涓子鬼遗方》"血涩不行,热盛肉腐"理论探讨针灸治疗糖尿病足溃疡OA
Study on the Application of the"Impeded Blood Flow and Putrefaction of Flesh Due to Intense Heat"Theory from Liu Juanzi's Surgical Formulas in the Acupuncture Treatment of Diabetic Foot Ulcers
糖尿病足溃疡(DFU)是糖尿病常见且严重的并发症,其病因涉及神经病变、血管病变及感染,临床防治难度大、复发率高.本文基于《刘涓子鬼遗方》"血涩不行,热盛肉腐"理论,探讨针灸治疗 DFU的效应机制与临床价值.针灸可通过促进血液循环、调节免疫反应、改善局部供氧,显著加速溃疡愈合,其中火针与艾灸在排脓、改善微循环及控制感染方面优势突出.另外,针灸可调节高糖微环境,增强局部血流,促进神经功能及创面修复.以期为 DFU 的中西医临床治疗,尤其在早期干预,提供理论依据与实践参考.
Diabetic Foot Ulcer(DFU)is a common and serious complication of diabetes.Its pathogenesis involves neuropathy,angiopathy,and infection,making clinical prevention and treatment challenging and resulting in a high recurrence rate.Based on the theory of"impeded blood flow and putrefaction of flesh due to intense heat"from Liu Juanzi's Surgical Formulas,this paper explores the mechanistic effects and clinical value of acupuncture and moxibustion in treating DFU.Studies have shown that acupuncture and moxibustion significantly accelerate ulcer healing by promoting blood circulation,regulating immune responses,and improving local oxygen supply.Among these techniques,fire needling and moxibustion demonstrate prominent advantages in draining pus,improving micro-circulation,and controlling infection.Modern research confirms that acupuncture and moxibustion can modulate the high-glucose micro-environment,enhance local blood flow,and promote nerve function and wound repair.By integrating traditional acupuncture and moxibustion with modern medicine,this study provides a theoretical basis and practical reference for the clinical treatment of DFU,particularly in early intervention.
张力睿;余清璇;杨剑锋;张艳;张锦楠;张浩然;刘星瑶;李友山
北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院,北京 100700北京中医药大学东直门医院通州院区,北京 101121
医药卫生
糖尿病足溃疡针灸刘涓子鬼遗方血涩不行热盛肉腐
Diabetic foot ulcerAcupunctureLiu Juanzi's surgical FormulasImpeded blood flowPutrefaction of flesh due to intense heat
《中医药学报》 2026 (4)
1-6,6
国家自然科学基金面上项目(81973849)
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