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202.12 以传统中药药膏治疗二度烫伤之病例报告

以传统中药药膏治疗二度烫伤之病例报告

A Case Report of Second-Degree Burns Treated with Traditional Chinese Medicine Ointment

黄义钧1,3　林育诚1,2　许世源1,3*

1 中山医学大学附设医院中西整合医疗科，台中，台湾

2 台北市莲桦中医诊所，台北，台湾

3 中山医学大学医学系，台中，台湾

【摘要】

本病例报告之患者因压力锅喷溅造成全身16% 二度烫伤，於烫伤中心住院治疗两周後出院返家自行护理。出院後自行贴敷人工皮并服用口服抗生素。在家护理一周後患处仍疼痛难耐，故於2014/8/20 至本院中西整合医疗科求诊。本病例外治法处方提供清热解毒、行气活血、去腐生新药调理，内治法处方治以益气养阴、宁心安神，疏肝理气、益阴清热为治则。疗程中使用金疮膏与紫云膏混合外敷，患处疼痛感明显减轻，局部发红现象减退，因疼痛而影响睡眠之情形亦获得改善，大大地提升患者的生活品质。故烧烫伤患者除了西医治疗以外，亦可以配合中医调理更可以加速伤口愈合及疼痛不适感的改善。希望藉由本案例提供临床医师叁考，提早中医治疗烧烫伤患者介入的时机。

【关键词】

二度烫伤、紫云膏、金疮膏

Yi-Chun Huang1,3　Yu-Cheng Lin1,2　Shi-Yuan Sheu1,3*

1Department of Integrated Chinese and Western Medicine, Chung Shan Medical University

Hospital, Taichung, Taiwan

2Lien Hua Chinese Medical Clinic, Taipei, Taiwan

3School of Medicine, Chung Shan Medical University, Taichung, Taiwan

【Summary】

We report herein on a patient who suffered from a splash and spill burn when opened pressure cooker, and got second-degree burns with 16% of total body surface area. Follow-up care at home using self-adhesive patches and was treated with oral antibiotics after discharge from the hospital (under 2 weeks). The pain was still very much from the affected area 1-week post-discharge, so the patient visited our Chinese Medical Center for further treatment on August 20, 2014.

Following appropriate treatment consists of Jin-Chuang-Gao and Zi-Yun-Gao applied to lesions, pain subsides significantly as redness decreased over days to weeks. The patient reported significant pain relief, and therefore improved sleep quantity, which has been associated with significantly improve quality of life scores. The combination of Traditional Chinese Medicine (TCM) with Western medicine could be used to accelerate wound healing and improve symptoms of pain and discomfort. The favorable response obtained in this case was due to the medication for external use. We recommend that TCM treatments are available for patients with burn injuries in early Intervention.

Keywords：Second-degree burns, Zi-Yun-Gao, Jin-Chuang-Gao

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