243.7 阳和汤化裁治跟骨粉碎性骨折经疤痕切除手术并慢性伤口之病例报告
TJ TCM.24(3) : 93-104, 2021
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阳和汤化裁治跟骨粉碎性骨折经疤痕切除手术并慢性伤口之病例报告
A Case Report of Yanghe Decoction for Treatment of Comminuted Calcaneal
Fracture after Scar Reconstructive Plastic Surgery Combined with Chronic Wound
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庄凯雯1 林廉证1*
1 财团法人彰化基督教医院中医部，彰化，台湾
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【摘要】
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此病患於106 年7 月10 日右脚跟骨粉碎性骨折，由於骨折後的疤痕组织妨碍足踝活动，於109 年3 月进行疤痕切除手术，现今右脚外踝伤口恢复速度缓慢，伤口大小6 公分乘以0.5 公分，伤口底偏黄偏淡，流有红黄色的渗出液，按压伤口周围麻木微痛感，VAS 2 分，右脚外踝肿胀闷痛严重阻碍右脚踝活动角度，右脚小腿肚到末端右脚脚趾处畏冷感，以手背触摸肤冷不温，温度明显低於健侧。因右脚外踝慢性伤口，且右脚脚踝活动功能仍不佳，病患於109 年5 月15 日就诊中医，经中医辨证为阳虚寒凝，给予阳和汤化裁服用，搭配针灸。治疗将近两个月，右脚温度和健侧相比已无明显区别，慢性伤口已完全痊愈，上下坡度或跑跳时足踝关节活动范围增加，疼痛不适感减轻。
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【关键词】跟骨粉碎性骨折、慢性伤口、中医、阳和汤
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Kai-Wen Chuang1 Lien-Cheng Lin1*
1Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan
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【Summary】
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Due to the right comminuted calcaneal fracture on 10 July, 2017, our patient had gone for scar removing operation later on March 2020 to try to alleviate the ankle incapability from right wound sutured adhesions. However, the lesion of 6cm by 0.5cm area on right lateral ankle was still light yellowish look with some reddish discharge, and numbness with slightly pain by pressed, VAS 2. The everlasting swelling and aches around right lateral ankle limited the range of motion; also the chillness may extend from right calf to the distal digits, and apparently lower lesion temperature from the other calf and felt by hand. The patient turned to our TCM Traumatology on 15 May, 2020 for his incapable right ankle and unrecovered wound. The present individual was then prescribed with Yanghe decoction by yang insufficient and cold stasis diagnosis. With 2 months period, the chronic lesion was healing with no significant temperature differences, lesion closure, and improved motion range of exercise with lesser pain scale.
【Keywords】Ankle Comminuted Fracture; Chronic Injury; Chinese Medicine; Yanghe Decoction
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