基于提脓去腐及煨脓长肉辨治下肢动脉硬化闭塞症坏死期  

Treatment on the necrotic stage of lower extremity arteriosclerosis obliterans based on the theory of extracting pus and removing rot and simmering pus and growing flesh

作　　者：关熙璇 罗永佳 周毅平 GUAN Xixuan;LUO Yongjia;ZHOU Yiping(Affiliated Hospital of Traditional Chinese Medicine of Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Department of Vasculitis,Affiliated Hospital of Traditional Chinese Medicine of Guangzhou Medical University,Guangzhou510000,China)

机构地区：[1]广州中医药大学附属中医医院,广州510000 [2]广州医科大学附属中医医院脉管炎科,广州510000

出　　处：《天津中医药》2023年第9期1129-1133,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：广州市中医药临床核心和特色诊疗技术建设项目。

摘　　要：下肢动脉硬化性闭塞症(LEASO)是导致动脉狭窄或闭塞而引起肢体缺血症状的慢性疾病。当LEASO发展至坏死期,严重影响患者的生活质量。LEASO属于中医“脱疽”范畴,运用中医外科理论指导治疗“脱疽”疗效明显。文章通过明确坏死各期表现,正确运用“提脓去腐”及“煨脓长肉”理论辨脓治疡,指导临床用药,为中医药治疗LEASO坏死期提供理论支持及经验思路。Lower extremity arteriosclerosis obliterans(LEASO)is a chronic disease that causes arterial stenosis or occlusion and leads to limb ischemia symptoms.When LEASO develops to necrosis stage,it seriously affects the quality of life of patients.LEASO belongs to the category of“gangrene”in traditional Chinese medicine.It has obvious curative effect to treat“gangrene”by applying the surgical theory of traditional Chinese medicine.In this article,by defining the manifestations of necrosis in each stage,also correctly applying the theory of“removing pus and removing decay”and“simmering pus and growing flesh”,guides clinical medication and applies it to LEASO necrosis stage,providing theoretical support and empirical ideas for traditional Chinese medicine to treat LEASO necrosis stage.

关 键 词：下肢动脉硬化闭塞症 脱疽 外治 提脓去腐 煨脓长肉 

分 类 号：R543.5[医药卫生—心血管疾病]