代红雨治疗臁疮经验

Experience of Professor Dai Hongyu in Treating Ecthyma

代红雨教授认为,臁疮患者全身证候与其创面局部表现并非全都处于相同阶段,应整体辨证、局部辨证相结合,内治法侧重于"补虚""化瘀",外治法侧重于拔毒、调节炎症反应。臁疮的本"虚"在于肝肾所主之"筋"的先天功能不足,因此,内治法尤重补肝肾、强筋力。臁疮创周的改变与微循环障碍、慢性炎症反应有关,创周与创面的状态有很大相关性,因此,外治法注意观察、干预创周,效法箍围思想。臁疮的渗液一方面是其慢性炎症反应的表现,一方面也是机体载毒外出的途径,治疗中注重观察、管理渗液,配合多种疗法,促进创面愈合。

Professor Dai Hongyu believes that the whole-body syndrome of patients with ecthyma are not in the same stage as the local manifestations of the wound, so overall syndrome and local syndrome differentiation should be combined.The internal therapy focuses on "tonifying deficiency" and "removing blood stasis".The external treatment focuses on pulling out poison and regulating inflammatory response.For ecthyma, the "deficiency" lies in the congenital deficiency of the "tendon" of Liver and Kidney, so the internal therapy should especially strengthen Liver, Kidney, and tendon strength.The change of ecthyma was related to microcirculation disorder and chronic inflammatory reaction, and was closely related to the state of the surrounding area of the wound.Therefore, external treatment should pay attention to the observation and intervention of ecthyma, and follow the idea of banding circumference.Exudation of ecthyma is not only the manifestation of chronic inflammatory reaction, but also the way to carry poison out of the body.In the treatment, attention should be paid to observation and management of exudation, and various therapies should be combined to promote wound healing.