论“腐败尽除”在去腐生肌法发展应用中的意义  

Meaning of‘eliminating all necroses’in development and application of eliminating necroses and promoting regeneration method

作　　者：曾添成 苏永华 ZENG Tiancheng;SU Yonghua(Department of Dermatology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Institute of Dermatology,Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院皮肤科,上海200437 [2]上海市中医药研究院皮肤病研究所,上海201203

出　　处：《中华中医药杂志》2024年第9期4553-4556,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市加强公共卫生体系建设三年行动计划(2023-2025年)重点学科建设项目(No.GWVI-11.1-24);第二轮促进市级医院临床技能与临床创新能力三年行动计划(No.SHDC2020CR3097B);国家中医药管理局高水平中医药重点学科建设项目(No.zyyzdxk-2023065);国家中医药管理局皮肤病循证基地建设项目。

摘　　要：去腐生肌法为中医常见治法,可用于各类急、慢性损伤性创面的治疗,在临床实践中有重要意义。文章从去腐生肌法的命名分析入手,整理该治法适用病证,描述其发展历程,释义“腐败尽除”在去腐生肌法中的重要地位,总结历代医家临证经验:不可过早使用生肌收口之药,盖毒尽肌肉自生;治当发散风毒;去腐之法亦应固护脾胃,当以温为主。对去腐生肌法在古籍记载中的运用、发展历程进行整理,述其源流,促进传承创新,为现代临床治疗提供治法、用药新思路。Eliminating necroses and promoting regeneration method described as a popular traditional Chinese thearpy,serves in all kinds of acute and chronic wounds,which have significant meaning in clinical practice.By analysising designation,as well as applicable symptoms and development process of eliminating necroses and promoting regeneration method,interpreting the importent meaning of'eliminating all necroses',generalizing ancient experts'clinical experience:never prematurely using regeneration and astringent medicine,for granulation get regenerating after eliminating all toxic;evaporating wind toxin,conservating spleen and stomach,using warm medicine mainly.This artile aiming to collecting and trimming development and application of eliminating necroses and promoting regeneration method in ancient books,by describing it's development context promiting inheritance and innovation,providing new therapies and new ideas of medication for clinical treatment.

关 键 词：去腐 生肌 中医药 腐败尽除 

分 类 号：R242[医药卫生—中医临床基础]