台北市中医师公会中医药研究论丛

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233.9 从晋代到近代：中草药外敷烧烫伤效果及不良反应之系统性文献回顾

TJ TCM.23(3) : 111-128,2020

DOI : 10.6516/TJTCM.202012_23(3).0008

从晋代到近代：中草药外敷烧烫伤效果及

不良反应之系统性文献回顾

Effectiveness and Safety of Burn Wound Dressings in Traditional Chinese Medicine: A

Systematic Review

古佳颖1　王雨薇2　林佳苇2　陈玮羚1　叶兼硕2*

1 台南市立安南医院中医部，委托中国医药大学兴建经营，台南，台湾

2 卫生福利部桃园医院中医科，桃园，台湾

【摘要】

烧烫伤是民众常见就医的原因，於中国古代文献即有记载治疗方式，病名为「火疮」、「汤火伤」等，所使用的外敷药物多具有清热、去腐、生肌、敛疮的功效，治疗目的为止痛，减少感染，并帮助伤口愈合。

本文为一系统性文献回顾。目的是回答中草药用於外敷烧烫伤效果如何？有无不良反应？首先整理出从晋代（266 A.C~420 A.C）至清代（1636A.C~1912 A.C）中医外敷烧烫伤伤口的用药，以作为临床选择外敷药材的叁考。其次，本文蒐集随机分组对照实验，以台湾中药典中有收录的中草药外敷为介入方式（Intervention）。我们纳入了12 篇中文及英文文献，结果显示，治疗组比起控制组，伤口完全愈合时间较快、同时间内平均伤口面积较小，且未发生严重感染事件及不良反应。从现有的证据来看，中草药可作为二度烧烫伤伤口安全的外敷用药。但此结论需更多品质良好的文献作为佐证。

【关键词】中草药、外敷、烧烫伤、系统性文献回顾

Chia-Ying Ku1Yu-Wei Wang2Chia-Wei Lin2Wei-Ling Chen1Chien-Shuo Yeh2*

1Department of Chinese Medicine, Tainan Municipal An-Nan Hospital, Tainan, Taiwan

2Department of Chinese Medicine, Taoyuan General Hospital, Taoyuan, Taiwan

【Summary】

Hou Shang" in traditional Chinese medicine. Various burn treatments, mainly dressings, could be found in literature throughout the course of traditional Chinese medicine. With effects of heat clearing, necrotic tissues eliminating, and granulation and re-epithelialization promoting, the burn wound dressings can reduce infections, relive pain and promote wound healing.

The aim of this systematic review is to investigate the effectiveness and safety of burn wound dressings in traditional Chinese medicine.We collected and organized the burn wound dressings recorded in the traditional Chinese medical literature between Tang Dynasty (266 A.C~420 A.C) and Qing Dynasty (1636 A.C~1912 A.C) for historical review and for further reference.Randomized control trials on burn patients with Chinese medicine dressings recorded in Taiwan Herbal Pharmacopeia as experimental groups, and healing time and effect as outcome measures were selected.

Twelve literatures in Chinese and English were included in our study.The results showed that in treatment group, the time required for wound healing time wassignificantlyshorter in the treatment group and the average wound area was significantly smaller. There were no severe infections or adverse effectsreported in both groups. From presented studies, the burn wound dressings made of traditional Chinese medicine is safe for burn wound. However, further studiesare needed to confirm the effectiveness of the burn wound dressings.

【Keywords】Traditional Chinese medicine; Dressing; Burns; Systematic Review

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