台北中醫醫學雜誌

93.4 慢性傷口之中醫診療病例報告
慢性傷口之中醫診療病例報告
Chronic Wounds in Traditional Chinese Medicine: A Case Report
謝豪* 楊宗憲
桃園長庚紀念醫院中醫部
【摘要】
慢性傷口與一般外傷性傷口不同,主要包括有靜脈性潰瘍、動脈性潰瘍、糖尿病潰瘍以及壓力性潰瘍,因受到局部血液灌流差、患者本身營養代謝低下、傷口感染或壞死範圍或局部高壓力低氧壓等多因素影響,導致傷口癒合困難。慢性傷口在中醫學裡屬於“脫疽”的範疇,又稱脫骨疽,好發於四肢的末端,以下肢多見。本病治療包括內治法與外治法,內治法從整體辨證著手,調補氣血,祛瘀通絡,外治則清熱解毒,活血生肌,本病例提供內治法療效的臨床觀察經驗。
【關鍵詞】
慢性傷口、內治法
 
Hao Hsieh*Tsung-Hsien Yang
Department of Chinese Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
Summary
Chronic wounds are different from general traumatic wounds, including venous ulcers, arterial ulcers, diabetic ulcers, and pressure ulcers due to poor local blood perfusion, low nutritional metabolism, wound infection or necrosis, low local high pressure as well as oxygen pressure and other factors. Chronic wounds belong to the category of phlegm in traditional Chinese medicine. They occur at the end of the limbs and are more common in the lower limbs. The treatment of this disease includes internal treatment and external treatment. The internal treatment method starts from the overall syndrome differentiation, regulates qi and blood, phlegm and collaterals, and external treatment cures heat and detoxification,promotes blood and muscles. This case provides clinical observation experience of internal treatment effect.
Keywords
chronic wounds, internal treatment