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代红雨治疗臁疮经验
引用本文:黄禾青,陈文文,陆海艳,代红雨.代红雨治疗臁疮经验[J].中医学报,2022,37(3):582-586.
作者姓名:黄禾青  陈文文  陆海艳  代红雨
作者单位:北京中医药大学,北京100029;北京中医药大学附属东方医院,北京100078,北京中医药大学附属东方医院,北京100078
摘    要:代红雨教授认为,臁疮患者全身证候与其创面局部表现并非全都处于相同阶段,应整体辨证、局部辨证相结合,内治法侧重于"补虚""化瘀",外治法侧重于拔毒、调节炎症反应.臁疮的本"虚"在于肝肾所主之"筋"的先天功能不足,因此,内治法尤重补肝肾、强筋力.臁疮创周的改变与微循环障碍、慢性炎症反应有关,创周与创面的状态有很大相关性,因...

关 键 词:臁疮  下肢静脉性溃疡  箍围  中医外科  代红雨

Experience of Professor Dai Hongyu in Treating Ecthyma
HUANG Heqing,CHEN Wenwen,LU Haiyan,DAI Hongyu.Experience of Professor Dai Hongyu in Treating Ecthyma[J].China Journal of Chinese Medicine,2022,37(3):582-586.
Authors:HUANG Heqing  CHEN Wenwen  LU Haiyan  DAI Hongyu
Institution:(Beijing University of Chinese Medicine,Beijing China 100029;Dongfeng Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100078)
Abstract:Professor Dai Hongyu believes that the whole-body syndrome of patients with ecthyma are not in the same stage as the local manifestations of the wound, so overall syndrome and local syndrome differentiation should be combined.The internal therapy focuses on "tonifying deficiency" and "removing blood stasis".The external treatment focuses on pulling out poison and regulating inflammatory response.For ecthyma, the "deficiency" lies in the congenital deficiency of the "tendon" of Liver and Kidney, so the internal therapy should especially strengthen Liver, Kidney, and tendon strength.The change of ecthyma was related to microcirculation disorder and chronic inflammatory reaction, and was closely related to the state of the surrounding area of the wound.Therefore, external treatment should pay attention to the observation and intervention of ecthyma, and follow the idea of banding circumference.Exudation of ecthyma is not only the manifestation of chronic inflammatory reaction, but also the way to carry poison out of the body.In the treatment, attention should be paid to observation and management of exudation, and various therapies should be combined to promote wound healing.
Keywords:ecthyma  venous leg ulcer  banding circumference  surgery of TCM  Dai Hongyu
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