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221.14 火针疗法治疗蜂窝性组织炎：腓腨发－蜂窝性组织炎治疗概念之探讨

TJ TCM.22(1) : 149-158, 2019

DOI : 10.6516/TJTCM.201903_22(1).0014

火针疗法治疗蜂窝性组织炎：腓腨发－蜂窝性组织炎治疗概念之探讨

A Case Report of Cellulitis Treated by Caloripuncture

李欣桦1　陈韦任1,2*

1 佛教慈济医疗财团法人大林慈济医院中医部，嘉义，台湾

2 国立成功大学工业卫生学科暨环境医学研究所，台南，台湾

【摘要】

本案病例报告之患者於门诊治疗前两周因为车祸撞击导致跌坐损伤，左侧小腿胫内侧遭摩托车压伤，产生皮损，而後伤口未愈且发生蜂窝性组织炎，期间虽至整形外科门诊就医，且使用抗生素治疗，但肿胀未消且加剧，伴随按压疼痛以及肿胀，疮口不收同时有脓出，疼痛影响活动及生活。经中医四诊及分析後，归咎其原因发於外伤而损伤筋脉，产生瘀伤所致。对应中医外科学，本病应属於发症，《证治准绳·外科－卷四》：「又名腓腨发疽、腓腨疽。」、「此证发於腓腨，即小腿肚也。由肾水不足膀胱积热，凝结而成，古方云不治。」，除了发生的位置之外，由过往医家所见本病常因外伤导致，若无妥善治疗及伤口的照护，很容易发展成严重的感染，甚至造成生命安全危害。本病患者就医时距离受伤已有两周，虽经抗生素治疗但肿痛仍加剧，於中医门诊接受火针疗法治疗，并且配合科学中药服用，间隔一周後再度回诊治疗，共经过两次火针疗法後，疮口退红消肿，无脓血出且疮口收口愈合，且无其他不适症状。

【关键词】蜂窝性组织炎、火针、腓腨

Hsin-Hua Li 1　Wei-Jen Chen1,2*

1Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, Chia-Yi, Taiwan

2Department of Environmental and Occupational Health, College of Medicine, National Chen

Kung University, Tainan, Taiwan

【Summary】

The case of this report had suffered from cellulitis after a motorcycle accident for two weeks. The pus-filled wound on patient`s tibia did not heal with redness remained. After plastic surgery out-patient department visiting and antibiotic treatment, the wound suppurated and symptoms did not improve. Cellulitis is often related to trauma and accident. If patient did not receive properly treatment, it can easily develop into serious infections and even cause life safety hazards. The patient has been injured for two weeks at the time of medical treatment. Although he had been treated with antibiotics, the wound swelling and pain are still intensified. Due to suffering from cellulitis and the unsuccessful common Western medicine weeks, the patient visited our outpatient services and received Caloripuncture treatment. After continued in the outpatient treatment two times by Caloripuncture, the discomfort due to cellulitis was released, and there was exudation no more from the healed-wound finally.

Keywords：Cellulitis, Caloripuncture, Traditional Chinese Medicine

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