徐旭英分期辨治臁疮经验
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摘要
臁疮是临床上常见的下肢溃疡,以病程长,易反复发作,经久不愈为特点,严重影响患者的生活质量。徐旭英教授在辨治臁疮方面积累了丰富的临床经验,指出"虚"是臁疮的根本病因,"湿""瘀"为标,发病过程中湿瘀虚此消彼长,共同存在。将臁疮分为急性期、慢性缓解期、慢性迁延期,总结出"分期辨治法",配合中医特色外用药,内外兼治。文章对此归纳总结,以资临床借鉴。
Ecthyma refers to ulcer of lower limbs,commonly seen in clinic,manifested as long duration of sickness,repeated attacks and difficulty in treatment. It seriously affects the living quality of patients.Prof. Xu Xuying accumulated rich experiences in the clinical treatment of ecthyma based on differentiation in TCM. He points out that the deficiency is the root cause,and damp and stasis are the symptoms. In the occurrence,damp,stasis and deficiency are mutually existed. Ecthyma is divided into acute stage,chronic remission stage and chronic persistent stage. The treatment is given in stages and based on syndrome differentiation in TCM. Both the external application and internal administration of Chinese herbal medicines are used. In the paper,the experiences on the treatment of this disease were summarized for the clinical references.
Ecthyma refers to ulcer of lower limbs,commonly seen in clinic,manifested as long duration of sickness,repeated attacks and difficulty in treatment. It seriously affects the living quality of patients.Prof. Xu Xuying accumulated rich experiences in the clinical treatment of ecthyma based on differentiation in TCM. He points out that the deficiency is the root cause,and damp and stasis are the symptoms. In the occurrence,damp,stasis and deficiency are mutually existed. Ecthyma is divided into acute stage,chronic remission stage and chronic persistent stage. The treatment is given in stages and based on syndrome differentiation in TCM. Both the external application and internal administration of Chinese herbal medicines are used. In the paper,the experiences on the treatment of this disease were summarized for the clinical references.
引文
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[14]Johnson KE,Wilgus TA.Vascular Endothelial Growth Factor and Angiogenesis in the Regulation of Cutaneous Wound Repair[J].Advances in Wound Care,2014,3(10):647-661.
[2]邓礼明,熊国祚,戴先鹏,等.下肢静脉性溃疡个体化治疗的疗效分析[J].现代医药卫生,2016,32(23):3659-3660.
[3]周涛.全国名老中医崔公让治疗臁疮经验[J].中医学报,2012,27(1):38-39.
[4]矫浩然,李云平,王刚,等.张庚扬教授治疗臁疮经验[J].中国中西医结合外科杂志,2013,19(6):657-659.
[5]李晓庆,杨博华.杨博华治疗臁疮经验[J].山东中医杂志,2015(5):384-386.
[6]李卓,周绍荣,薛慈民.薛慈民治疗臁疮经验拾萃[J].山东中医杂志,2015(7):549-550.
[7]林燕,戴淼可,何秀娟,等.朱红膏对基质金属蛋白酶活性及成纤维细胞分泌的影响[J].中国中药杂志,2013,38(11):1795-1799.
[8]李媛,赵光明,董建勋,等.回阳生肌膏及其拆方对糖尿病慢性皮肤溃疡大鼠血清白细胞介素-1α和血栓素B2含量的影响[J].中国中医药信息杂志,2014(7):43-46.
[9]宋永卫.生肌散治疗疮疡的效果观察[J].中国医药指南,2015,13(9):208-209.
[10]王广宇,董建勋,徐旭英,等.回阳生肌散对慢性难愈性皮肤溃疡伴铜绿假单胞菌感染31例[J].辽宁中医杂志,2013,40(10):2045-2048.
[11]徐旭英,吕培文,吴承东,等.红纱条配合垫棉法治疗体壁窦道26例[J].北京中医,2006,25(2):93-94.
[12]李晶,薛斌.新型医用敷料的分类及特点[J].中国组织工程研究,2013,17(12):2225-2232.
[13]郝文丽,张平,吴训伟,等.组织工程皮肤的现状和展望[J].北京生物医学工程,2016,35(1):94-99.
[14]Johnson KE,Wilgus TA.Vascular Endothelial Growth Factor and Angiogenesis in the Regulation of Cutaneous Wound Repair[J].Advances in Wound Care,2014,3(10):647-661.