吕培文的应用回阳生肌法治疗慢性难愈性皮肤溃疡的经验总结.docVIP

吕培文的应用回阳生肌法治疗慢性难愈性皮肤溃疡的经验总结 　　[摘要] 吕培文认为慢性难愈性皮肤溃疡大多属阴证疮疡，根据局部辨证处于脾肾阳虚阶段，长期不愈合的皮肤溃疡可应用回阳生肌法治疗。中医外科临床对于慢性皮肤溃疡的治疗，局部辨证是重要的一个方面。在临床应用时要分析疮面肉芽、渗出、疮周表现，可以判断慢性阴证溃疡气血、脾肾、正邪交争情况。通过局部辨证分析指导辨证运用内服及外用药物。慢性溃疡是动态变化过程，脾肾阳虚阶段可能持续一段时期，应用回阳生肌法治疗也要通过局部情况判断疗效，同时在治疗过程中强调调和气血，顾护脾胃。 　　[关键词] 吕培文；慢性难愈性皮肤溃疡；回阳生肌法；局部辨证；学验传承 　　[中图分类号] R751 [文献标识码] A [文章编号] 1673-7210（2015）10（a）-0085-04 　　Experience summary of Lü Peiwen applying restoring yang and promoting granulation therapy in treating chronic refractory skin ulcer 　　JIA Liancheng LU Peiwen 　　Department of Fourth Surgery， Beijing Hospital of Traditional Chinese Medicine， Capital Medical University， Beijing 100010， China 　　[Abstract] Director Lü Peiwen considers that chronic refractory skin ulcer mostly belong to ulcer of yin syndrome. According to local syndrome differentiation， chronic refractory skin ulcer can use restoring yang and promoting granulation therapy to treat， which is in the stage of yang deficiency of both spleen and kidney. Local syndrome differentiation is an important part to the treatment of chronic skin ulcer in surgery of traditional Chinese medicine. Through analyzing ulcer surface granulation， exudate， performance of ulcer around in clinical applications， it could judge the situation of qi and blood， spleen and kidney， struggle between the vital energy and the pathogenic factor of chronic ulcer of yin syndrome. Local syndrome differentiation can direct us to use the oral or external medication rightly. Chronic ulcer is a dynamic process and the stage of yang deficiency of both spleen and kidney may be last for some time， so using restoring yang and promoting granulation therapy to cure also want to judge the curative effect through the local condition. Meanwhile， it is important that regulating qi and blood， and caring spleen and stomach during the course of treatment. 　　[Key words] Lü Peiwen； Chronic refractory skin ulcers； Restoring yang and promoting granulation therapy； Local syndrome differentiation； Expe