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陈绍宏教授从阴阳辨证论治坏死性筋膜炎的经验 被引量:1

Experience of Professor CHEN Shaohong Who has Differentiated and Treated Necrotizing Fasciitis from Yin-Yang Syndrome Differentiation
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摘要 坏死性筋膜炎是急性软组织感染性疾病,病情往往迅速进展,常伴全身中毒表现,而手术、抗感染等西医治疗后仍具有高死亡率及高致残率。本文总结陈绍宏教授的临证特点及其对坏死性筋膜炎的认识。陈教授认为坏死性筋膜炎属于外科疮疡范畴,首重阴阳辨证,阳证治以四妙勇安汤,阴证治以阳和汤,随证加减,可改善预后,促进伤口愈合。附验案1则。 Necrotizing fasciitis is an acute soft-tissue infectious disease that tends to progress rapidly,always with manifestations of systemic toxicity.Although,after surgery,anti-infection and other western medical treatments,there is still a high mortality rate and a high disability rate.In this paper,Professor CHEN Shaohong’s diagnosis and treatment characteristics and his understanding of the etiology and pathogenesis of necrotizing fasciitis are summarized.Professor CHEN believes that necrotizing fasciitis belongs to the category of surgical sores,and the first is the syndrome differentiation of YIN-YANG.Yang syndrome is treated with Simiao Yong’an Decoction.Yin syndrome is treated with Yanghe Decoction.Addition and subtraction according to the syndrome,can improve prognosis and promote wound healing.One case inspection is attached.
作者 吴洁柔 王琴 张静 赖芳 曾瑞峰 黄威 奚小土 李俊 WU Jierou;WANG Qin;ZHANG Jing(The Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou Guangdong 510405,China)
出处 《四川中医》 2022年第9期1-4,共4页 Journal of Sichuan of Traditional Chinese Medicine
基金 广东省自然科学基金-面上项目(编号:2020A1515010512) 广东省中医院中医药科学技术研究专项资助(编号:YN2018ZD03) 广东省中医院临床研究专项(编号:YN10101908) 广东省中医药局科研重点项目(编号:20213007) 广东省中医药局科研项目(编号:20221189) 广东省中医院“优势病种”突破专项(脓毒症优势病种) 广东省中医院名中医药专家传承工作建设项目:陈绍宏学术经验传承工作室。
关键词 坏死性筋膜炎 阴阳辨证 四妙勇安汤 阳和汤 陈绍宏 Necrotizing fasciitis Syndrome differentiation of Yin-Yang Simiao Yong’an Decoction Yanghe Decoction CHEN Shaohong
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