御医流派房家外科“甲字提毒药捻”制备工艺及操作流程研究  

Research on the preparation and clinical operation processes of Jiazi Tidu Medicinal Gauze Twist of Fang’s Surgery, a school of imperial medicine

作　　者：王君月 张董晓[1] 赵文洁[1] WANG Junyue;ZHANG Dongxiao;ZHAO Wenjie(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010;Beijing University of Chinese Medicine)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学

出　　处：《现代中医临床》2025年第2期42-46,共5页Modern Chinese Clinical Medicine

基　　金：青年岐黄学者培养项目(No.国中医药人教函[2022]256号);中医药古籍文献和特色技术传承专项(No.0686-2211CA080200Z);北京市科技计划课题(No.Z211100002921020);中华中医药学会青年求实项目(No.2023-QNQS-16);首都医科大学教育教学改革研究课题(No.2023JYY326);北京市中医药科技发展资金项目(No.BJZYQN-2023-08)。

摘　　要：目的 对甲字提毒药捻的制备工艺流程、临床操作流程进行规范化总结,确定其最佳适应症。方法 通过检索数据库、专家访谈等方法,收集包括报纸杂志、期刊论文、医家著作、年鉴等资料,获取口述、影像资料、手稿资料。结果 形成“甲字提毒药捻”数据库。对甲字提毒药捻规范化应用进行整理:甲字提毒药捻可化腐提毒、生肌收口、脱管止痛;适应症包括疮口口径较小,或深部溃疡,排脓困难者;窦道、瘘管,腐肉未脱、愈合迟缓者。对制备工艺流程与临床操作流程、使用周期、注意事项进行规范。结论 甲字提毒药捻可化腐提毒、生肌长肉、止痛,适用于各类外科疾病窦道期的治疗。Objective To provide a standardized summary of the preparation and clinical operation processes of Jiazi Tidu(No. 1 Toxin-Extracting) Medicinal Gauze Twist and determine its optimal indications.Methods Relevant information was gathered through database searches and expert interviews, including newspapers, magazines, journal articles, medical texts, annals, and obtained dictations, image data, and manuscript materials.Results A comprehensive database of Jiazi Tidu Medicinal Gauze Twist was established. The standardized applications were summarized as follows: Jiazi Tidu Medicinal Gauze Twist relieves necrotic tissue and removes toxins, promotes tissue regeneration, facilitates wound healing, and alleviates pain. Its indications include small or deep ulcers with inadequate drainage, sinus tracts or fistulas with necrotic tissue and delayed healing. The preparation process, clinical operation procedure, treatment duration, and precautions were standardized.Conclusion Jiazi Tidu Medicinal Gauze Twist effectively relieves necrotic tissue and removes toxins, promotes tissue regeneration, facilitates wound healing, and alleviates pain. It is particularly suitable for managing various surgical conditions in the sinus stage.

关 键 词：甲字提毒 房芝萱 房世鸿 房家外科 化腐提毒 

分 类 号：R26[医药卫生—中医外科学] R287[医药卫生—中医学]