“煨脓长肉”理论的临床运用与理性思考

发布时间：2018-02-04 19:25

本文关键词： 煨脓长肉皮肤溃疡治疗方案中性粒细胞　出处：《中华中医药杂志》2017年11期 　论文类型：期刊论文

【摘要】：各种慢性难愈性皮肤溃疡是中医外科的常见病,多发病。"煨脓长肉"法是中医外科临床治疗皮肤溃疡常用有效方法之一。传统理论认为,该法所涉及的"脓"不仅是外科疾病中特有的病理产物,为热盛肉腐而成,也是外科疾病进展过程中的一种必然结果——正气祛毒外出的一种表现形式。临床实践证明,脓液稠厚,表明元气较充,创面气血来复,预后良好。然而,笔者在临床实践中发现,病理表现以中性粒细胞浸润为主的血管炎性溃疡疾病,应当慎重使用,"煨脓长肉"法的现代临床运用需要"病证结合"。
[Abstract]:Various chronic refractory skin ulcers are common diseases in traditional Chinese medicine surgery. "simmer pus and long meat" is one of the most effective methods in the treatment of skin ulcers. The "pus" involved in this law is not only the pathological product of surgical diseases, but also is formed by the rot of hot meat. It is also an inevitable result in the progress of surgical disease. Clinical practice has proved that the thick abscess shows that the vital qi is more abundant, the wound Qi and blood are recovered, and the prognosis is good. In clinical practice, the author found that the disease of vasculitis ulcer with neutrophil infiltration as the main pathological manifestation should be used prudently, and the modern clinical application of the method of "simmering pus and long meat" requires "combination of disease and syndrome".
【作者单位】：上海中医药大学附属岳阳中西医结合医院皮肤科;上海市闵行区吴泾医院皮肤科;
【基金】：国家自然科学基金项目(No.81373648,No.81673866) 上海市卫生和计划生育委员会优秀青年人才培养计划(No.XYQ2013073) 上海市科学技术委员会项目(No.16411955000)~~
【分类号】：R26
【正文快照】： “煨脓长肉”法是中医外科临床促进创面愈合的常用特色疗法,临床实践证明能有效促进创面愈合。诸多学者还运用该理论在疮疡[1]、肛肠[2]、骨伤[3]及药物制备[4]领域。尽管近年来中医外治法临床研究逐步深入,机制阐释也得到极大的发展。然而,笔者在临床实践中发现,溃疡病理表现

【相似文献】