当归芍药散治疗慢性皮肤溃疡经验

Experience in the Treatment of Chronic Skin Ulcers with Angelica Paeoniae San

摘要: 介绍徐爱琴教授运用当归芍药散治疗慢性皮肤溃疡的临床经验总结。徐教授认为慢性皮肤溃疡病因病机主要为禀赋不足，外感邪毒，致气血瘀滞，久聚化湿凝滞筋脉、骨节，漫溢肌肤化腐，加之病程绵长，久则伤正，益损机体脏腑阴阳气血，即“虚、瘀、湿、腐”相互作用，互为因果。故治疗上应在活血祛湿、托毒敛疮的基础上配合匡扶正气、补益气血、交通上下。临证论治，疗效显著，并附验案一则，以为佐证。

Abstract: This article presents a summary of clinical experience of Professor Xu Aiqin in the treatment of chronic skin ulcers using Angelica Paeoniae San. Professor Xu thinks that the cause and mechanism of chronic skin ulcers is mainly due to deficiency of endowment, external infection with evil toxins, resulting in stagnation of qi and blood, long gathering of dampness and stagnation of tendons and veins, bones and joints, overflowing skin and decay, coupled with the long duration of the disease, which injures the righteousness and damages the organism’s internal organs, yin and yang, qi and blood, that is, “deficiency, stagnation, dampness and decay” interact with each other as cause and effect. The treatment should be based on activating the blood to dispel dampness and to control toxins and converge sores, together with supporting the righteousness, tonifying the qi and blood, and transporting up and down. The clinical evidence and treatment have shown remarkable efficacy, and a test case is attached as supporting evidence.