中藥內治急性耳前瘻管發炎病例

A Case Report for the Acute Phase of Preauricular Fistula Infection with Chinese Medicine Treatment

10.7102/JTCIM.201312_11(2).0003

黃怡嘉(Yi-Chia Huang)；王麗香(Li-Hsiang Wang)；蘇奕彰(Yi-Chang Su)

耳前瘻管 ； 發炎 ； 中藥 ； 癰 ； preauricular fistula ； inflammation ； Chinese medicine ； abscess

中醫內科醫學雜誌

11卷2期（2013 / 12 / 01）

17 - 26

繁體中文

目的：耳前瘻管在急性發炎時期治療方式，西醫一般使用抗生素及止痛藥，待發炎過後才進行手術根除，以減少其手術失敗及復發之風險。病例報告：此病人為一名右耳耳前瘻管在急性發炎時期使用西藥控制不佳而合併使用口服中藥，使其急性少陽三焦經上部之癰證獲得完整的治療，讓病人免於在急性期發炎期接受手術。結論：中醫癰證內科治療之三階段，初期膿未成之時宜消散，用辛涼清熱之品，宣散清熱解毒；消之不退，膿欲成用溫陽排膿利濕清熱之品，透托排膿；膿已潰，加入黃耆補氣，托瘡生肌，幫助傷口癒合。在此患者的治療過程中清楚體現，且發揮良好療效。

Objectives: In the acute phase of preauricular fistula infection, treatment comprises administration of appropriate antibiotics, and anti-inflammation drug. Most evidence suggests the best time of surgical treatment is at complete remission of acute inflammation, because that provides a lower recurrence rate and lower failure rate of operation.Case Report: The case, suffered from acute right preauricular fistula infection received west medicine, had no good response. He got a complete remission of acute inflammation combined with oral Chinese medicine treatment that brought him avoided operation at acute inflammation phase.Conclusions: Furthermore the case report provided how the three phases of Chinese medicine treat the abscess. The first phase of the treatment before the information of abscess is relieving the exterior with coolness and acridity for decreasing inflammation. If failure, the secondary phase of the treatment is warming yang, clearing heat and resolving dampness for the pus formation as soon as possible. After the pus out, the end phase of the treatment is supplementing qi for the wound healing.

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