中医药研究论丛

233.7 中医常用外治法之应用暨皮肤不良反应之处置
TJ TCM.23(3) : 91-102,2020
中医常用外治法之应用暨皮肤不良反应之处置
The Application of External Treatment of Traditional Chinese Medicine and
Managements of Skin Adverse Reaction 
刘丁凤1 黄琮融1 黄惠棻1,2 林宜信1,3 赖尚志1,4*
1 慈济大学学士後中医系,花莲,台湾
2 佛教慈济医疗财团法人台北慈济医院中医部,台北,台湾
3 佛教慈济医疗财团法人花莲慈济医院中医部,花莲,台湾
4 佛教慈济医疗财团法人花莲慈济医院药剂部,花莲,台湾
【摘要】
中医外治法泛指除口服药物以外施於体表或从体外进行治疗的方法,包括针刺、灸疗、按摩、薰洗、贴敷等,在诸多外治方法中,本篇针对临床使用率较高的天灸、艾灸、膏剂、洗剂做原理及应用整理。由於外治法直接作用於体表,使用不当可能出现皮肤的不良反应,常见不良反应有接触性皮肤炎、火激红斑、烫伤,本文以文献回顾方式整理中西医临床处置方式、用药方针,并讨论可改善之措施,期能降低不良反应的临床发生率,提供临床执业医护人员处置方针之叁考。
【关键词】中医外治法、皮肤不良反应
 
Ding-Fong Liu1Tsung-Rung Huang1Hui-Fen Huang1,2I-Hsin Lin1,3
Shang-Chih Lai1,4
1School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
3Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
4Department of Pharmacy, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation,Hualien, Taiwan
【Summary】
External treatment of traditional chinese medicine(TCM) indicates therapies other than oral medication, including topical application of chinese herb, acupuncture, moxibustion , massage, and acupoint herbal patching. In this article, we will review the use of Tian-jiu, moxibustion, oinment, and Chinese herb fumigation. These treatment modalities are widely used in Taiwan. Contact dermatitis, Burns, Erythema ab igne are commonly observed during external therapy. In this article, we will review current approaches and managements from the perspective of both chinese and western medicine to these adverse drug reactions. We hope the preventive measures and appropriate procedures can reduce the incidence of drug adverse reaction in clinical
【Keywords】External Treatment of TCM; Adverse Drug Reaction (ADR)