从“气虚毒损”论治慢性难愈性皮肤溃疡

Treatment of chronic refractory skin ulcers from the perspective of “qi deficiency and toxicity”

关键词:  气虚毒损  慢性难愈性皮肤溃疡  扶正祛邪  补气解毒  敛疮生肌

Key words:  qi deficiency and toxicity  chronic refractory skin ulcers  promoting the righteousness and dispelling the evil  tonifying qi and detoxifying the toxins  astringing sores and regenerating muscles

摘要:

慢性难愈性皮肤溃疡多处于疾病的终末期阶段，临床多从实邪（热、毒、痰、瘀等）论治，易忽略正气虚损之本质，往往久治不愈，疗效不甚理想。百病始于正虚，其终亦为虚。正气亏虚是慢性难愈性疾病久治不愈的根本原因，“毒邪”损害导致其病情加重，治疗可从补气养血、扶正固本、祛邪解毒、化腐生肌方面着手。

Abstract:

Chronic refractory skin ulcers are ulcers caused by a variety of factors that make it difficult for the skin to heal over a long period of time, and are mostly at the end stage of the disease. qi is the root of human beings, and is the basic material that constitutes the life activities of the human body. If qi is gathered, the body will be born, if qi is strong, the body will be healthy, if qi is weak, the body will be weak, and if qi is dispersed, the spirit will die. The "positive qi" is the body's defense system against external evil, positive qi is sufficient to prevent solid order, positive can overcome the evil then the internal organs can be safe, flesh, tendons and bones can be nourished and not sick, or sick and quickly healed;positive qi is deficient in its solid protection, flesh, muscle surface by the evil internal organs can't be safe and cause disease, or the internal organs of the deficient to the tendons and bones and muscles to lose nourishment and cause disease, many long course of illness and poor prognosis. All diseases begin with deficiency and end in deficiency, so "deficiency" is the root cause of chronic and intractable diseases that do not heal. The treatment can be based on tonifying the qi and nourishing the blood, strengthening the root, detoxifying and dispelling the evil, and resolving decay and regenerating the muscle.