李家庚三法九步治疗血肿经验举隅

LI Jia-geng’s experience in treating hematoma by nine steps in three ways

血肿属于中医肌衄、斑的范畴,西医常选择手术治疗,但有再出血、创伤、高龄不宜等风险,中医治疗血肿有独到之处。李教授认为血肿以火、血、气失和为根本病机,临床需辨火、血、气之阴阳,以治火、治血、治气为主要治法,根据病情缓急及辨证,灵活运用清火、散火、制火、止血、化瘀、宁血、降气、行气、益气九步治疗;李氏止衄方乃治疗本病经验用方,体现了李教授火、血、气同治的辨治特色,并附验案1则。

Hematoma belongs to the category of sweat pore bleeding and blood spot in traditional Chinese medicine. Modern medicine often chooses surgical treatment, but there are risks such as re-bleeding, trauma and unsuitable for the elderly. Traditional Chinese medicine has its own advantages in treating hematoma. Professor LI Jia-geng believes that the fundamental pathogenesis of hematoma is the disharmony of fire, blood and qi, which needs to be differentiated between yin and yang in clinic. According to the urgency and dialectics of the disease, he flexibly uses nine steps of clearing fire, dispelling fire, restraining fire, stopping bleeding, removing blood stasis, nourishing blood, reducing qi, promoting qi and nourishing qi to treat hematoma. Professor LI’s prescription for stopping bleeding is an empirical prescription for treating the disease, which embodies professor LI’s combined treatment. The distinguishing and treating characteristics of fire, blood and qi are attached with one case for examination.