通讯作者: 朱迪, 582290831@qq.com

DOI：10.12201/bmr.202511.00031

Treatment of Diabetic Foot Based on the Five-Body Theory

• 摘要：基于五行学说形成的“五体理论”是中医学解析人体生理病理现象的重要思想，在糖尿病足治疗中，可运用该理论，针对皮、肉、脉、筋、骨的不同病变层次辨证论治:邪气在脉，宜益气养血、活血通痹，黄芪桂枝五物汤加减；邪至皮、肉，宜清热利湿、解毒消痈，五味消毒饮合四妙丸加减；邪气及筋，宜养血温经、清解郁毒，当归四逆汤加减；邪气及骨，宜补精扶正、温阳散寒，阳和汤加减。在基本方基础上，针对红肿、冷痛、化脓、难敛等不同症状，亦需加减化裁、随证施量，以提高治疗精准性。

  关键词： 中医; 五体理论; 糖尿病足; 局部辨证; 临床经验

   

  Abstract: The Five-Body Theory formed based on the Five Elements theory is a crucial ideology in Traditional Chinese Medicine (TCM) for analyzing human physiological and pathological phenomena. In the treatment of diabetic foot, this theory can be applied to differentiate syndromes and treat based on the different layers of pathological changes affecting the skin, muscle, vessels, sinew, and bone. When the pathogenic factor affects the vessels, the approach involves supplementing qi and nourishing blood, activating blood flow and relieving obstruction, with modifications to the Huangqi Guizhi Wuwu Tang. When the pathogenic factor affects the skin and muscle, the treatment focuses on clearing heat and eliminating dampness, detoxifying and resolving abscesses, with modifications to the Wuwei Xiaodu Yin and Simiao Wan. If the pathogenic factor affects the sinew, themethod involves nourishing blood, warming the meridians, and dispersing stagnated toxins and clearing heat. This can be achieved through modifications to the Danggui Sini Tang. And when the pathogenic factor affects the bone, the treatment aims to nourish essence and strengthen vital qi, warm the yang and dispel cold, with modifications to the Yanghe Tang. Based on the basic formula, adjustments are also made according to different symptoms such as redness, swelling, cold pain, suppuration, and difficulty in healing, to improve the accuracy of treatment.

  Key words: Traditional Chinese Medicine; Five-Body Theory; Diabetic Foot; Local Syndrome Differentiation; Clinical Experience

  提交时间：2025-11-13

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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  1	2025-11-08	10.12201/bmr.202511.00031V1	下载

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