摘要
"腐去肌生"是皮肤疮面愈合过程中的重要规律,也是中医外科学经典理论之一。对于"腐"的全面认识和正确处理与皮肤疮面的治疗息息相关。目前中医外科多将"腐"界定在坏死组织或坏死组织分解物等单一有形之物的层面,具有一定的局限性,对于皮肤疮面的中医临床治疗整体性的把握略显不足。笔者认为,结合现代医学可将腐的范围扩大到分子学领域,即一切阻碍疮面愈合的因素或新生物质,如变性坏死组织、分子产物、细菌生物膜、细胞因子等均可统一归入"腐"的范畴,以此为基础,通过选用适当"去腐"方法,即可最终实现疮面愈合。
’Eliminating necrotic tissues and promoting granulation’is an important rule in the healing process of cutaneous wounds,and it is also one of the classic theories of TCM surgery.The comprehensive understanding of’slough’and proper treatment are closely related to the treatment of cutaneous wounds.At present,TCM surgery has defined’slough’on the level of single tangible objects such as necrotic tissue or necrotic tissue decomposition,which has certain limitations.The overall understanding of the clinical treatment of cutaneous wounds is not enough.The author believes that,the scope of slough can be extended to the molecular field combined with modern medicine,that is,all the factors that hinder the healing of the cutaneous wounds or new substances,such as degeneration and necrotic tissue,molecular products,bacterial biofilm,cytokines,etc.,can be uniformly classified into’slough’.On the basis of this,by using the appropriate’eliminating necrotic tissues’method,you can finally achieve the cutaneous wounds.
作者
卢旭亚
徐强
李品川
张朝晖
LU Xu-ya;XU Qiang;LI Pin-chuan;ZHANG Zhao-hui(Second Affiliated Hospital of Tianjin University of TCM,Tianjin 300250,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第5期2884-2886,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81573972,No.81273759)。
关键词
皮肤疮面
腐
坏死组织
溃疡
疮疡
中医外科
再认识
Cutaneous wound
Slough
Necrotic tissue
Ulcerating sore
Sores
Surgery of Tradtional Chinese Medicine
Recognition
