化腐生肌法探析

Exploration of Resolving Necrotic Tissues and Promoting Growth of New Tissues

  • 摘要: 回溯化腐生肌法的学术渊源,认为慢性溃疡的病因病机是人体气血运行失调、营卫不畅、肌肤失养,毒、腐、瘀、虚相互作用形成与发展所致;针对其主要病机的解毒拔毒、祛腐、化瘀、补虚是化腐生肌外治大法的主要内涵。化腐与生肌相辅相成,化腐中蕴有生肌,生肌中辅有化腐,二者相辅相成、互有侧重。探析化腐生肌法,认识中医药在溃疡组织再生修复中优势与特色,以期更好指导创疡外科科学研究及治疗应用。

     

    Abstract: Through reviewing the academic origin of the therapy of resolving necrotic tissues and promoting new tissues' growth as well as summarizing the etiology and pathogenesis of chronic ulcer disease, it is believed that the irregular flow of qi and blood, disharmony of nutritive qi and defensive qi, malnutrition of muscle and skin are all due to the interaction of toxin, necrotic tissues, blood stasis and xu. In line with the main pathogenesis, the chief methods of remove toxin, eliminate necrotic tissues, resolve stasis and tonify deficiency are pertaining to the resolving the necrotic tissues and promoting the new tissues' growth. Resolving necrotic tissues is combined with promoting growth of new tissues. Promoting growth of new tissues is contained in and also assisted by resolving necrotic tissues, two of which are interdependent and have corresponding emphases. Exploring the therapy of resolving necrotic tissues and promoting new tissues' growth and making it conforming to the clinical ulcer healing rules can be helpful for its cure. At the meanwhile, the advantages and distinguishing features of traditional Chinese medicine in ulcer tissue's regeneration can be identified, and better guidance for traumatic scientific research and treatment of ulcer will be made.

     

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