浅析冷漏的证治  

Analysis on the Treatment of Fistula

作　　者：刘涵予 谢昌营[2] 龚小慧 王沁 曾柔 LIU Hanyu;XIE Changying;GONG Xiaohui;WANG Qin;ZENG Rou(Clinical Medical College,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330004,China;Proctology Department,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学临床医学院,江西南昌330004 [2]江西中医药大学附属医院肛肠科,江西南昌330006

出　　处：《光明中医》2025年第3期451-454,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：江西省教育厅科学技术研究项目(No.GJJ211223);国家中医药管理局第七批全国老中医药专家学术经验继承项目(No.国中医药人教函〔2022〕76号)。

摘　　要：冷漏一词由盱江医家陈自明首次于《外科精要》提出,是一种悬痈预后常见并发症,中医对此病的理解在历代医家的临床实践中逐步深化,但在证治方面尚未形成统一认识。笔者通过对古代医籍中的冷漏相关文献进行系统性梳理,从病名、病因病机及治法对其源流进行考证,为冷漏的临床诊治提供更多中医学理论依据。并进一步结合现代医学,探讨冷漏与慢性难愈性创面间病程的相似性,同时挖掘二者在证治方面的潜在关联。The word fistula was first proposed by Xujiang Physician Chen Ziming in Waike Jingyao.It is a common complication of carbuncle prognosis.The understanding of this disease in traditional Chinese medicine has been gradually deepened in the clinical practice of doctors in the past dynasties,but a unified understanding has not yet been formed in the aspect of syndrome and treatment.By systematically combing the literature related to cold leakage in ancient medical books,the author made a textual research on its origin from the name of disease,etiology,pathogenesis and treatment,so as to provide more theoretical basis of traditional Chinese medicine for the clinical diagnosis and treatment of fistula,and further combined with modern medicine,to explore the similarity of the course between fistula and chronic refractory wounds(CRW),and to explore the potential correlation between the two in syndrome and treatment.

关 键 词：冷漏 慢性难愈性创面 病因病机 辨证论治 中医药疗法 

分 类 号：R26[医药卫生—中医外科学]