刘树林基于“通阳不在温”理论分期论治糖尿病足经验介绍

[中图分类号]R587.2；R249 [文献标志码］A [文章编号]0256-7415（2025）24-0192-06

DOl：10.13457/j.cnki.jncm.2025.24.033

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"

LIQingrong1，LIANGJian1，CHENJinyan1，LINYongkai²，LIUShulin² 1.TheFirstClinicalMedicalColegeofGuangzhouUniversityofChineseMedicine，GuangzhouGuangdong50405，China；2.TeFist Affiliated Hospital of Guangzhou Universityof Chinese Medicine，Guangzhou Guangdong 510405，China

Abstract：Professor LIU Shulin，integrating YE Tianshi's theory of "warming therapy is not the only one choice foractivating yang"with decades of clinical experience，proposes thatthe pathogenesis of diabetic footis rooted in yang deficiencyof the spleen andkidney，with damp，heat，blood stasis，and toxin blockage as the secondary manifestations，belonging toasyndrome of deficiencyinroot 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 ison warming and unblocking，with treatmentsaimed at warming and tonifying the splen and kidney，dispeling coldand removing dampness，andactivating blood circulation tounblock colaterals.In the ulceration stage，the priorityis eliminating pathogens and reinforcing healthyqi，byclearing heat and draining dampness，resolving stasis and removing toxins to remove necrosis and promotetisue regeneration，whilealso fortifyingthe spleenand warming the kidney.During the recovery stage，he advocates for simultaneous unblocking and tonifying，through supplementingqi and blood，warming andtonifying the spleen and kidney，whilealso dispersing residual pathogens，regulating qi and blood flow，and unblocking the meridians and collaterals.

Keywords：Diabetic foot；Warming therapy is not the only one choice for activating yang；Stage-specific treatment；LIU Shulin

糖尿病足（DF）指初诊糖尿病或已有糖尿病病史的患者足部出现感染、溃疡或组织的破坏，通常伴有下肢神经病变和（或）外周动脉疾病，是糖尿病患者常见的慢性并发症之一。（剩余8572字）