透法在外科疮疡中的运用

Application of Penetration Method Treating Surgical Ulcers

祛邪是中医学重要的治疗原则之一,而透法属于祛邪的重要方法之一。通过对透法内涵的探讨,阐释透法的核心内容在于顺势而为,因势利导,使邪透于外之意。结合外科疮疡自身特有的临床特点,采用温病卫气营血辨证理论探寻透法指导外科疮疡的治疗,分别从宣透法、清透法、通透法、透托法、养透法5类以阐释不同透法的定义、文献记载、具体适应证及代表方药。认为透法在外科疮疡临床应用中有着重要的理论指导价值,能够有效指导临床实践,能够切实提高临床疗效。

Eliminating pathogenic is one of the important therapeutic principles of TCM,and penetration method is one of the important methods of eliminating pathogenic factors. Through the discussion of the connotation of penetration,the core content of penetration is to act in accordance with the situation and guide the evil to the outside. Combining with the unique clinical characteristics of surgical sores and ulcers,this paper explored the penetration method to guide the treatment of surgical sores and ulcers by using the theory of Wei-Qi-Ying-blood differentiation of febrile diseases. The definitions,literature records,specific indications and representative prescriptions of different penetration methods were explained from five categories: dispersing penetration method,clearing penetration method,purging penetration method,promoting penetration method and nourishing penetration method. It is believed that the penetration method has important theoretical guiding value in clinical application of surgical ulcers,can effectively guide clinical practice,and can effectively improve clinical efficacy.