曹吉勋治疗肛门术后难愈性创面经验

肛门因其特殊的构造及生理功能导致术后并发症发生率较高,其中术后创面难愈为常见且严重的并发症之一。中医药治疗该疾病经验丰富,临床运用广泛,具有高效、价廉的优势。名中医曹吉勋对该疾病有着准确且独到的认识,认为肛门术后创面难愈外因在于术后邪毒残留、六淫侵袭,内因在于脏腑亏虚、正气虚弱。病情总体属于本虚标实,以脾、肝、肾三脏亏虚为本,湿、瘀、痰、气为标。治疗以调和脾脏、多脏同调为关键,同时祛除邪气,邪去正安。临床诊疗过程中当首判邪盛正虚,再审气血脏腑亏虚、邪气性质,局部整体相结合,抓住主要病机。现总结不同阶段创面特点,精准辨证,灵活用药,运用多种治疗手段,综合施治,将曹吉勋治疗创面难愈经验进行全面地总结拓展。

CAO Jixun's experience in the treatment of refractory rounds after anus surgery

Because of its special structure and physiological function,the anus has a very high incidence of postoperative complications,and refractory wounds are one of the common and serious complications.Traditional Chinese medicine has rich experience in the treatment of this disease,is widely used in clinical practice,and has the advantages of high efficiency and low price.Professor CAO has an accurate and unique understanding of the disease.He believes that the external cause of the refractory wound after anus surgery is the poisonous residual and the invasion of the six debaucheries,and the internal cause is the deficiency of the viscera and weakness of healthy Qi.The overall condition belongs to the deficiency of the essence and excess in manifestation and is based on deficiency of the spleen,liver,and kidney,with dampness,blood stasis,phlegm,and Qi stagnation as the standard.The key to the treatment process is to harmonize the spleen and other multiple viscera.In the process of clinical diagnosis and treatment,we should first judge the excess of the debaucheries and the deficiency of the healthy Qi,then review the status of Qi,blood,viscera,and then check the nature of the diseases,combining the parts and the whole to grasp the main pathogenesis.This paper summarizes the characteristics of wounds at different stages,accurately differentiates syndromes,uses flexible medication,uses a variety of treatment methods,comprehensively treats them,and comprehensively summarizes and expands professor CAO's years of treatment experience.