台北中医医学杂志

93.4 慢性伤口之中医诊疗病例报告
慢性伤口之中医诊疗病例报告
Chronic Wounds in Traditional Chinese Medicine: A Case Report
谢豪* 杨宗宪
桃园长庚纪念医院中医部
【摘要】
慢性伤口与一般外伤性伤口不同,主要包括有静脉性溃疡、动脉性溃疡、糖尿病溃疡以及压力性溃疡,因受到局部血液灌流差、患者本身营养代谢低下、伤口感染或坏死范围或局部高压力低氧压等多因素影响,导致伤口愈合困难。慢性伤口在中医学里属於“脱疽”的范畴,又称脱骨疽,好发於四肢的末端,以下肢多见。本病治疗包括内治法与外治法,内治法从整体辨证着手,调补气血,祛瘀通络,外治则清热解毒,活血生肌,本病例提供内治法疗效的临床观察经验。
【关键词】
慢性伤口、内治法
 
Hao Hsieh*Tsung-Hsien Yang
Department of Chinese Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
Summary
Chronic wounds are different from general traumatic wounds, including venous ulcers, arterial ulcers, diabetic ulcers, and pressure ulcers due to poor local blood perfusion, low nutritional metabolism, wound infection or necrosis, low local high pressure as well as oxygen pressure and other factors. Chronic wounds belong to the category of phlegm in traditional Chinese medicine. They occur at the end of the limbs and are more common in the lower limbs. The treatment of this disease includes internal treatment and external treatment. The internal treatment method starts from the overall syndrome differentiation, regulates qi and blood, phlegm and collaterals, and external treatment cures heat and detoxification,promotes blood and muscles. This case provides clinical observation experience of internal treatment effect.
Keywords
chronic wounds, internal treatment