基于“异病同治”探讨“补气解毒法”治疗“慢性难愈合创面”

Discussion on the treatment of “chronic refractory wound” with “tonifying qi and detoxifying method” based on “homotherapy for heteropathy”

关键词:  异病同治  补气解毒  慢性难愈合创面  溃疡  病因证治

Key words:  homotherapy for heteropathy  tonifying qi and detoxifying  chronic refractory wound  ulcer  etiology,syndrome and treatment

摘要:

“异病同治”是指不同的疾病，在其发展过程中，由于出现了相同的病机，因而采用同一方法治疗的法则。“异病同治”的理论基础在于辨证论治。“慢性难愈合创面”是指因多种外界或内在因素引起，经治疗1个月以上，愈合进展缓慢或仍未愈合的创面，多种疾病的过程中皆可出现“慢性难愈合创面”，主要包括创伤性溃疡、糖尿病溃疡、下肢静脉性溃疡、压迫性溃疡，亦包括消化性溃疡和动脉粥样硬化斑块溃疡等，中医同属“溃疡”的范畴。虽发病机制复杂，其辨证总属“气虚毒损证”。故文章以“异病同治”为指导，系统论述“慢性难愈合创面”病因证治，从而为中医药治疗“慢性难愈合创面”提供重要理论依据。

Abstract:

“Homotherapy for heteropathy” refers to different diseases with the same method of treatment because of the same pathogenesis in the development process. The theoretical basis of “homotherapy for heteropathy” lies in syndrome differentiation and treatment. “Chronic refractory wound” refers to wounds that have progressed slowly or have not yet healed after being treated for more than one month due to a variety of external or internal factors. “Chronic refractory wound” can occur during the course of various diseases including traumatic ulcers,diabetic ulcers,venous ulcers of the lower extremities,pressure ulcers,and also includes peptic ulcers,atherosclerotic plaque ulcers and so on,which are considered by Chinese medicine as complications of “ulcer”. Although the pathogenesis is complicated,the syndrome differentiation is always “qi deficiency and toxicity syndrome”. Therefore,this article takes “homotherapy for heteropathy” as the guide,systematically discusses the etiology,syndrome and treatment of “chronic refractory wound”,so as to provide important theoretical basis for traditional Chinese medicine treatment of “chronic refractory wound”.