| 摘要: |
| 目的:探索疮疡疾患的病理基础;中医、中西医治法治则;筛选活血化瘀中药,以促进治疗疮疡血瘀证的药物开发。方法:追溯自晋代至清代疡科治疗专着30余部,分析疮疡疾患的病因病机;统计疮疡内治处方出现率较高的中药排序,分析药物的功效分类。查阅现代文献,归纳血瘀证时出现的病理生理改变;分析治疗疮疡各类中药的现代药理作用。结果:疮疡疾患病理基础,肿疡以气滞血瘀伴湿热毒为主证;溃疡以血瘀伴气血两虚为主证。治法为活血化瘀,清热解毒,补益气血。药物以甘草、当归、金银花、赤芍、人参、黄芪、桂枝为主药。结论:疮疡疾患以活血化瘀治法为主,辨证佐以清热解毒、补益气血类药物。 |
| 关键词: 疮疡 血瘀证 活血化瘀 |
| DOI：10.11656/j.issn.1672-1519.2002.06.04 |
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| 基金项目: |
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| Relationship Between Blood Stasis in Sore and Ulcer Disease and Principle of Promoting Blood Circulation and Removing Blood Stasis |
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Wang Jianping,Li Lanqing
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Tianjin Hospital of TCM, Tianjin 300140, China
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| Abstract: |
| Objective: To study the pathological mechanism of sore and ulcer disease and its therapeutic principles of TCM and integrated traditional Chinese and western medicine. To choose the Chinese herbs which had the function of promoting blood circulation and removing blood stasis for improving the research and development of new drugs. Method: More than 30 special books for treating sore and ulcer diseases from Jin dynasty to Qing dynasty were reviewed to get to understand the pathogenesis and mechanism of this disease and the classification of the effect of the herbs, often used in the internal prescriptions for oral administration. The physio-pathological changes of blood stasis were summarized and the modern pharmacological action of all kinds of herbs for this disease was analyzed after reading modern articles. Results: In pathological basis of this disease, the swelling sore type attributed to stagnation of qi and blood accompanied with dampness, heat and toxin, and the ulcer type to blood stasis with deficiency of qi and blood. The therapeutic principle were promoting blood circulation, removing blood stasis, removing heat and toxin and tonifying qi and blood. Gancao, Danggui, Jinyinhua, Shaoyao, Renshen, Huangqi and Guizhi were mainly chosen. Conclusion: The main treatment of sore and ulcer diseases is promoting blood circulation and removing blood stasis and accompanied with herbs which can removing heat and toxin or tonifying qi and blood according to the differentiation of syndromes. |
| Key words: sore and ulcer diseases blood stasis promoting blood circulation and removing blood stasis |
