基于“偎脓长肉”理论探讨祛腐生肌类药物在疮面中的应用

Based on the theory of“pus and flesh”,the application of saprophytic muscle drugs in the face of sores was discussed

“偎脓长肉”理论是中医外科特有的治疗理念之一,在治疗慢性难愈合疮面上取得了显著的疗效。通过研究“偎脓长肉”理论的历史源流和当代文献,挖掘“偎脓长肉”的中医内涵,对“偎”和“脓”有了更深刻的认识。“偎脓长肉”理论与现代医学的“湿性愈合”疗法亦有异曲同工之妙,二者都强调需要气血津液所化生的湿润土壤促进疮面的修复。通过“偎脓长肉”理论的指导,研究“脓”在不同阶段的疮面发挥的作用,进一步探讨并梳理论述祛腐生肌类药物的历史文献、分类和常用外治方,以期为疮面的治疗提供理论指导。

The theory of“snuggling pus and growing flesh”is one of the unique therapeutic concepts in Chinese medicine and surgery,and has achieved remarkable therapeutic effects in the treatment of chronic hard-to-heal sores.Through studying the historical origin and contemporary literature of the theory of“snuggling pus and growing flesh”,we have explored the connotation of Chinese medicine in snuggling pus and growing flesh,and gained a deeper understanding of“snuggling”and“pus”.The theory of“Snuggling Pus and Growing Flesh”is similar to the“Wet Healing”therapy of modern medicine,both emphasize the need for moist soil generated by qi,blood and fluids to promote the repair of sores.Through the guidance of the theory of“snuggling pus and growing flesh”,we study the role of“pus”in different stages of sores,and further discuss the historical literature,classification and commonly used external therapeutic prescriptions of the drugs for removing putrefaction and regenerating muscles,with a view to providing theoretical guidance for the treatment of sores.