基于“创面床准备”理论谈崔公让治疗脱疽经验  

Cui Gongrang’s Experience In Treating Gangrene Based on the Theory of "Wound Bed Preparation"

作　　者：张榜[1] 马海涛[1] 崔炎[1] 周涛[1] 吴建萍[1] 刘平[1] ZHANG Bang;MA Hai-tao;CUI Yan;ZHOU Tao;WU Jian-ping;LIU Ping(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou Henan 450000)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000

出　　处：《世界中西医结合杂志》2020年第10期1805-1808,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局全国名中医崔公让传承工作室建设项目(国中医药办人教函[2018]119号);河南省首批青苗人才培养项目(豫中医科教[2018]16号);河南省中医管理局中医外科诊疗中心培育项目(豫中医医政[2018]49号)。

摘　　要：脱疽是中医外科疮疡类的难治性疾病,崔公让教授20世纪80年代主编出版我国首部《脱疽》专著,在脱疽的中医诊治方面积累了丰富的临证经验,创制出多种治疗本病的内外治良方,临床效果显著。崔公让教授在全身系统治疗方面提出"控制感染、改善循环、清除坏死、促使愈合"外科处理原则并自拟通脉活血汤加减辨证治疗。在局部创面处理中注重疮疡的分期辨证、严格把握清创时机,善用中医外治法及生肌白玉膏、抗绿生肌散、仲景药霜等方药,取得显著疗效。Tuogangrene is a refractory disease of traditional Chinese medicine surgical sores.Professor Cui Gongrang edited and published our country’s first monograph on Tuogangrene in the 1980 s.He has accumulated rich clinical experience in the diagnosis and treatment of Tuogangrene,and created a variety of internal and external treatments for the treatment of this disease,with significant clinical effects.Professor Cui Gongrang put forward the surgical treatment principle of"controlling infection,improving circulation,removing necrosis,and promoting healing"in the treatment of systemic system,and made the self-made Tongmai Huoxue Decoction with addition and subtraction treatment based on syndrome differentiation;pay attention to the staging and strict control of sore and ulcer treatment in local wound treatment.At the time of debridement,good use of traditional Chinese medicine external treatment,Shengji Baiyu ointment,Kanglushengji powder,Zhongjing medicated cream and other prescriptions have achieved significant effects.

关 键 词：脱疽 创面床准备 崔公让 名医经验 

分 类 号：R261[医药卫生—中医外科学]