基于“寒中于暮”理论探讨糖尿病足病机与证治

[关键词］糖尿病足；寒中于暮；温阳散寒

[中图分类号］R249 [文献标志码］A [文章编号]0256-7415（2025）13-0144-05

DOl：10.13457/j.cnki.jncm.2025.13.027

Discussion on Pathogenesis， Syndrome and Treatment of Diabetic Foot Based on the Theory of "Cold Affecting in the Evening"

HE Xiaolin1.2，LIU Feng³，LIU Tian² 1.GuangzhouUniversityofChineseMedicine，GuangzhouGuangdong5106，China；2.DepartmentofEndocrinology，FoshanHospital of TraditinalChineseMedicine，FoshanGuangdong528ooo，China；3.DepartmentofEndocrinology，TheThirdAfitedHospitaof Guangzhou University of Chinese Medicine，Guangzhou Guangdong 510378，China

Abstract：Diabetic fot isa severe complication of diabetes，characterized by itschronicityand diffculty in healing，and can lead to amputation or even death in its terminalstage.This paper，based on thetheoryof "cold afecting in the evening"from JinGuiYaoLue（Essentials fromthe Golden Cabinet），proposes that the etiological factorsof diabetic footarerelated tothecold pathogen in nature.Thepathogenesis lies inthecold pathogen injuring the nutrient qi，obstructing the blood vessels，and exacerbating during the winter，evening，and midnight when the cold pathogen is most prevalent.The treatment involves the useof Chinese medicinals of warming yang，dispersing cold， activating blood circulation to remove blood stasis，and harmonizingqiand blood.Itaddresss both the symptoms and the root cause，and provides early intervention for diabetic foot in a personalized and timely manner.

Keywords：Diabetic foot；Cold affecting in the evening；Warming yang，dispersing cold

糖尿病足是糖尿病所致的下肢远端皮肤及深层组织破坏的一种微血管疾病，通常伴随神经病变、外周动脉闭塞和感染，严重可累及肌肉和骨组织，导致肢体缺血坏死。（剩余8207字）