中醫藥研究論叢

233.7 中醫常用外治法之應用暨皮膚不良反應之處置
TJ TCM.23(3) : 91-102,2020
中醫常用外治法之應用暨皮膚不良反應之處置
The Application of External Treatment of Traditional Chinese Medicine and
Managements of Skin Adverse Reaction 
劉丁鳳1 黃琮融1 黃惠棻1,2 林宜信1,3 賴尚志1,4*
1 慈濟大學學士後中醫系,花蓮,台灣
2 佛教慈濟醫療財團法人台北慈濟醫院中醫部,台北,台灣
3 佛教慈濟醫療財團法人花蓮慈濟醫院中醫部,花蓮,台灣
4 佛教慈濟醫療財團法人花蓮慈濟醫院藥劑部,花蓮,台灣
【摘要】
中醫外治法泛指除口服藥物以外施於體表或從體外進行治療的方法,包括針刺、灸療、按摩、薰洗、貼敷等,在諸多外治方法中,本篇針對臨床使用率較高的天灸、艾灸、膏劑、洗劑做原理及應用整理。由於外治法直接作用於體表,使用不當可能出現皮膚的不良反應,常見不良反應有接觸性皮膚炎、火激紅斑、燙傷,本文以文獻回顧方式整理中西醫臨床處置方式、用藥方針,並討論可改善之措施,期能降低不良反應的臨床發生率,提供臨床執業醫護人員處置方針之參考。
【關鍵詞】中醫外治法、皮膚不良反應
 
Ding-Fong Liu1Tsung-Rung Huang1Hui-Fen Huang1,2I-Hsin Lin1,3
Shang-Chih Lai1,4
1School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
3Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
4Department of Pharmacy, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation,Hualien, Taiwan
【Summary】
External treatment of traditional chinese medicine(TCM) indicates therapies other than oral medication, including topical application of chinese herb, acupuncture, moxibustion , massage, and acupoint herbal patching. In this article, we will review the use of Tian-jiu, moxibustion, oinment, and Chinese herb fumigation. These treatment modalities are widely used in Taiwan. Contact dermatitis, Burns, Erythema ab igne are commonly observed during external therapy. In this article, we will review current approaches and managements from the perspective of both chinese and western medicine to these adverse drug reactions. We hope the preventive measures and appropriate procedures can reduce the incidence of drug adverse reaction in clinical
【Keywords】External Treatment of TCM; Adverse Drug Reaction (ADR)