MA Chaoqun's Experience in Differentiating and Treating Diabetic Foot Ulcers Based on Theory of"All Pains,Itches,and Sores Are Related to Heart"
WANG Qian
YAO Yiting
CHEN Dexuan
MA Chaoqun
Abstract：The theory that"all pains,itches,and sores are related to the heart"is derived from Plain Questions-Treatise on the Supreme Truth and Essential Principles,emphasizing that pains,itches,and sores are all related to the heart.Professor MA Chaoqun excels in diagnosing and treating diabetic foot ulcers from the perspective of the"heart".He posits that despite the fact that the manifestation site of this disease is in the skin and collaterals,its root cause lies in the heart,which is closely associated with the abnormal physiological functions of the heart governing fire,the heart governing blood and vessels,and the heart storing the spirit.In clinical practice,he categorizes diabetic foot ulcers into the syndrome of excessive heat-toxin and the syndrome of deficiency of both qi and blood.For patients suffering from excessive heat-toxin,the treatment method is to clear the heart,cool the blood,purge fire,and resolve toxins.The modified Simiao Yong'an Decoction(四妙勇安汤)is chosen as the prescription.For patients with deficiency of both qi and blood,the treatment method is to strengthen the spleen,nourish the heart,replenish qi,and promote the healing of sores.The modified Gubu Decoction(顾步汤)combined with Bazhen Decoction(八珍汤)is chosen as the prescription.In terms of compatibility,drugs for clearing heat,promoting diuresis,dredging heart vessels,and nourishing the heart spirit are commonly used.Additionally,the external application of the in-hospital preparation Chuangling Liquid(疮灵液)in the form of a wet compress on the ulcer is utilized.This approach of combining internal and external treatments has been proven to be clinically effective.One proven case is attached.
Keywords：All painsitchesand sores are related to the heartdiabetic foot ulcersthe syndrome of excessive heat-toxinthe syndrome of deficiency of both qi and bloodSimiao Yong'an DecoctionGubu DecoctionBazhen Decoction
Publication Date：2026-04-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：5( 405-408,419 )