李斌辨治慢性皮肤溃疡经验
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摘要
介绍李斌教授对慢性皮肤溃疡病因病机的分析及其用药经验。认为诊治本病应衷中参西,辨病和辨证相结合。提出瘀、虚为两大关键病理因素,治以生肌化瘀、清利湿热、调理脾胃。
This paper introduces Professor Li Bin's analysis on the etiology and pathogenesis of chronic skin ulcer and his medication experience. It is considered that the diagnosis and treatment should integrate Chinese and western medicine,and take disease differentiation and syndrome differentiation in combination. It is proposed that stasis and deficiency are two key pathological factors,and the treatment should promote granulation and remove blood stasis,clear dampness-heat,regulate spleen and stomach.
This paper introduces Professor Li Bin's analysis on the etiology and pathogenesis of chronic skin ulcer and his medication experience. It is considered that the diagnosis and treatment should integrate Chinese and western medicine,and take disease differentiation and syndrome differentiation in combination. It is proposed that stasis and deficiency are two key pathological factors,and the treatment should promote granulation and remove blood stasis,clear dampness-heat,regulate spleen and stomach.
引文
[1]OGURTSOVA K,da ROCHA FEMANDES J D,HUANG Y,et al.IDF Diabetes Atlas:Global estimates for the prevalence of diabetes for 2015and 2040[J].Diabetes Research&Clinical Practice,2017(128):40.
[2]JEFFCOATE W,BAKKER K.World Diabetes Day:footing the bill[J].Lancet,2005,365(9470):1527.
[3]张朝晖,徐强.“去腐生肌”理念在慢性创面治疗中的应用[J].辽宁中医杂志,2017,44(2):265-266.
[4]肖秀丽,王振宜,范斌,等.祛瘀生肌(内外合治)法治疗慢性下肢皮肤溃疡50例临床观察[J].中国中西医结合皮肤性病学杂志,2005,4(3):176-178.
[5]徐文彬,李斌,肖秀丽,等.祛瘀生肌法对慢性下肢溃疡创面色泽及渗液量的影响[J].中国中西医结合外科杂志,2006,12(2):103-105.
[6]李斌,董莉,章云,等.生肌化瘀方及其拆方对体外培养创面肉芽组织成纤维细胞周期的影响[J].中国中西医结合外科杂志,2002,8(4):279-281.
[7]李福伦,李斌,王振宜,等.活血化瘀中药对糖尿病创面肉芽组织细胞周期变化的影响[J].中国中西医结合外科杂志,2007,13(5):457-459.
[8]李斌,李福伦,王振宜,等.祛瘀生肌法对糖尿病大鼠创面新生肉芽组织凋亡相关基因的动态影响[J].中医杂志,2008,49(3):258-260.
[9]李福伦,李斌,王振宜,等.祛瘀生肌法对大鼠糖尿病创面新生肉芽组织中Bax和Bcl-2的影响[J].中西医结合学报,2007,5(6):661-664.
[10]康亚国.虫类药应用发微[J].辽宁中医杂志,2006,33(8):1008-1009.
[11]侯小涛,戴航,周江煜.黄柏的药理研究进展[J].时珍国医国药,2007,18(2):498-500.
[12]许红兰.苦参的药理研究进展[J].现代医药卫生,2008,24(20):3066-3067.
[13]阙华发,唐汉钧,王林扬,等.益气化瘀法促进慢性难愈性创面修复愈合的机制研究[J].中西医结合学报,2005,3(3):243-246.
[14]阙华发,朱元颖,王云飞,等.益气化瘀中药对糖尿病皮肤溃疡大鼠缺氧诱导因子-1α和血管内皮细胞生长因子的影响.[J]中西医结合学报,2007,5(2):165-169.
[2]JEFFCOATE W,BAKKER K.World Diabetes Day:footing the bill[J].Lancet,2005,365(9470):1527.
[3]张朝晖,徐强.“去腐生肌”理念在慢性创面治疗中的应用[J].辽宁中医杂志,2017,44(2):265-266.
[4]肖秀丽,王振宜,范斌,等.祛瘀生肌(内外合治)法治疗慢性下肢皮肤溃疡50例临床观察[J].中国中西医结合皮肤性病学杂志,2005,4(3):176-178.
[5]徐文彬,李斌,肖秀丽,等.祛瘀生肌法对慢性下肢溃疡创面色泽及渗液量的影响[J].中国中西医结合外科杂志,2006,12(2):103-105.
[6]李斌,董莉,章云,等.生肌化瘀方及其拆方对体外培养创面肉芽组织成纤维细胞周期的影响[J].中国中西医结合外科杂志,2002,8(4):279-281.
[7]李福伦,李斌,王振宜,等.活血化瘀中药对糖尿病创面肉芽组织细胞周期变化的影响[J].中国中西医结合外科杂志,2007,13(5):457-459.
[8]李斌,李福伦,王振宜,等.祛瘀生肌法对糖尿病大鼠创面新生肉芽组织凋亡相关基因的动态影响[J].中医杂志,2008,49(3):258-260.
[9]李福伦,李斌,王振宜,等.祛瘀生肌法对大鼠糖尿病创面新生肉芽组织中Bax和Bcl-2的影响[J].中西医结合学报,2007,5(6):661-664.
[10]康亚国.虫类药应用发微[J].辽宁中医杂志,2006,33(8):1008-1009.
[11]侯小涛,戴航,周江煜.黄柏的药理研究进展[J].时珍国医国药,2007,18(2):498-500.
[12]许红兰.苦参的药理研究进展[J].现代医药卫生,2008,24(20):3066-3067.
[13]阙华发,唐汉钧,王林扬,等.益气化瘀法促进慢性难愈性创面修复愈合的机制研究[J].中西医结合学报,2005,3(3):243-246.
[14]阙华发,朱元颖,王云飞,等.益气化瘀中药对糖尿病皮肤溃疡大鼠缺氧诱导因子-1α和血管内皮细胞生长因子的影响.[J]中西医结合学报,2007,5(2):165-169.