Deficiency and blood stasis causal treat ecthyma based on different stages (one) 

Que huafa Xu Jie male Zhang Zhen XingJie Wang Yunfei ChanWei XiaoWen Tang Hanjun
Longhua hospital affiliated to Shanghai university of traditional Chinese medicine surgery 

China's traditional Chinese medicine to 

        Ecthyma is not more, there must be "empty", "stasis", and often "caused by deficiency and blood stasis, caused by blood stasis xu", causal, become the two main causes of wound to heal. Based on "virtual", "stasis", "corruption" as the standard, "virtual stasis heavy", "stasis was empty weight" as the basic pathogenesis. 
 
        Acute infection period, evil poison (damp heat evil poison) ablaze, when using large dose of been the evil spirits went out first, detoxification truncation turn even more quickly; Improvement in remission, is so evil, of disease; been detoxification of degression, replenishing qi blood muscle of increasing; Repair, the period of healing is deficiency and blood stasis is given priority to, while replenishing qi of spleen and kidney blood raw muscle. 
 
        Surgery of traditional Chinese medicine (TCM) guggenheim surgery is China's famous family. In the process of hundred years of inheritance, long-term commitment to the clinical research of chronic lower limb ulcer, chronic lower limb ulcer wound healing was carried out by traditional Chinese medicine to promote the comprehensive and systematic clinical and experimental research, and obtained a series of fruitful results. Use based on, inside and outside governance of comprehensive treatment, the treatment of chronic ulcer of lower limb, can accelerate wound healing and reduce scar formation, improve the quality of wound healing, obtain significant clinical effect. The author will now guggenheim surgical diagnosis and treatment of chronic lower limb ulcer academic thoughts and clinical experience is introduced as follows, to share with fellow. 
 
        By syndrome differentiation, "deficiency, blood stasis" 
 
        Chronic lower limb ulcer belongs to traditional Chinese medicine "ecthyma", "ulcer", "hooligan boils" category. Mr Guggenheim places outside the second generation descendant Gu Xiaoyan ecthyma is hot and humid stasis, condense and becomes lower limb stasis wet resistance, qi and blood can't open this for it. Jiaziyu Gu Bohua professor argues that this disease is due to the prolonged standing or take more weight, fatigue consumption of qi and blood, gas subsidence, collaterals chang, affect the operation of local blood, blood stasis continued in collaterals, hence displaced a skin, after for treating, and qi stagnation and blood stasis. Or leg broken injury, insect bites, skin eczema canister and induce. 
 
        The fourth generation successor Tang Hanjun professor argues that "long illness will empty", "long illness will stasis", ecthyma is not more, there must be "empty", "stasis", and often "caused by deficiency blood stasis, caused by blood stasis", causal, become the two main causes of wound to heal. Based on "virtual", "stasis", "corruption" as the standard, "virtual stasis heavy", "stasis was empty weight" as the basic pathogenesis. "Virtual", "stasis", "corruption" is not only the pathogenic factors, and the pathological products. 
 
        He thinks that "corruption" in the early days of the disease plays a main role, and "virtual" determines "blood stasis", "decay" development degree, simultaneously is also the inevitable result of the disease in the late and the principal contradiction, and "blood stasis" disease throughout the treatment. 
 
        In recent years, the guggenheim surgical theory and pathogenesis of chronic ulcer of lower limb is characterized by "because of the virtual sense of evil (wind, dampness, heat, toxin), pathogens and blood stasis, blood stasis resistance is, the corrosion cause loss", the process of the formation of the "the imaginary, evil, blood stasis, rot" interaction, the change of the causal, thus appear all sorts of diseases. 
 
        The "empty", "stasis" as the key to lower limbs chronic ulcer is difficult to repair, for this; "Evil", "corruption" is an important factor in wound healing difficult, for the label. And put forward when the painless treatment of chronic lower limb ulcer etc from disease to wounds, think the vital qi is deficient, winding empty lost glory, collaterals stasis, evil toxin impairing collaterals as its basic pathogenesis. 
 
        Review for treatment, both inside and outside 
 
        Gu Xiaoyan outside and Gu Bohua ecthyma general treatment is given priority to, advocated "remove saprophytic muscle," with bound bound therapy. In early acute infection, appropriate heat lishi, put inside usually don't have to be late; If less blood, appropriate nourishing blood and camp, only strengthen the pain. Tang Hanjun on pay attention to the syndrome differentiation and treatment of systemic and local treatment, argues the internal and external governance. Think of chronic ulcer of lower limb, rot muscle not born born or difficult, the key lies in the existence of "virtual", "stasis", so on the basis of "remove saprophytic muscle", put forward "to fill empty raw muscle", "remove stasis raw muscle. 
 
        Inside governance, at various stages of the disease, as the "rotten a stasis a virtual" three sheng, primary and secondary growth and transformation, formulate corresponding "qing" (been), "tong", promoting blood circulation to remove blood stasis type), "fill" (the method of replenishing qi spleen class). Early wound sepsis corruption is more, hot and humid poison, appropriate heat detoxification with wet first, give priority to in order to "clear"; New muscle wound sepsis corruption take off, not born, belong to qi deficiency and blood stasis syndrome, appropriate yiqi stomach, dispelling stasis t2dm, give priority to in order to "complement", "tong", supplemented by a small amount of the "qing", to remove residual toxin factor of damp and hot, to prevent the recurrence of disease. 
 
        Outside governance according to different wounds are stage, by sticking therapy, remove excess or insufficiency of saprophytic muscle, remove blood stasis, long simmering pus meat, the production of fumigation treatment, Ta soiled therapy, hot drying, tangle, therapy, and other comprehensive therapy treatment. 
 
        Guggenheim surgery in recent years, believe that the treatment of lower limb chronic ulcer when to tonify deficiency, remove blood stasis, expelling pathogenic for solution, by removing "empty", "blood stasis" and "evil" of the key factors, make the blood run smooth, push Chen Zhixin, both helping blood biochemical, and the evil poisonous clear solution, the wound get moisten the nutrients tianjin blood nourishing, repair possible, born so rotten to muscle, wound healing. Combined with "cure a wood correction" : "strength, both will not reach on blood vessel, blood vessels, will stay and stasis" theory, such as establishing blood activing treatment rules, yi qi and blood throughout the treatment. 
 
        At the same time, establish the combination of inside governance and outside governance based on sequential treatment, claims under the principle of the same treatment, timely application inside governance, external treatment. Through the inner governance to adjust the overall and reach the purpose of improving local; Through the external treatment, efficacy of direct effects on the local and reach the purpose of improving local. However, clinical when distinguish the nature of the imaginary, evil, blood stasis, weight and etc., primary and secondary in different stage should be focused on disease. 
 
        Acute infection period, evil poison (damp heat evil poison) ablaze, when using large dose of been the evil spirits went out first, detoxification truncation turn even more quickly; Improvement in remission, is so evil, of disease; been detoxification of degression, replenishing qi blood muscle of increasing; Repair, the period of healing is deficiency and blood stasis is given priority to, while replenishing qi of spleen and kidney blood raw muscle. External treatment should be applied to eliminate corruption tonify deficiency qi and remove stasis of the production of sequential therapy, at the same time pay attention to simmer pus, wet, heat pus remove rotten, remove stasis rot, invigorate the circulation of raw muscle, simmer pus, the application of raw muscle.
 
 
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