Research progress in mechanism of Tuochuang Shengji therapy in treating refractory wounds
10.3760/cma.j.cn115398-20231008-00037
- VernacularTitle:托疮生肌法治疗难愈性创面机制研究进展
- Author:
Haoyang DU
1
;
Haiqi FU
;
Yong LIANG
;
Yuan GAO
Author Information
1. 内蒙古医科大学2021级硕士研究生，呼和浩特 010000
- Keywords:
Soreand ulcer;
Refractory wounds;
Tuochuang Shengji therapy;
Surgery (TCM);
Mechanism;
Review
- From:
International Journal of Traditional Chinese Medicine
2024;46(8):1097-1101
- CountryChina
- Language:Chinese
-
Abstract:
Tuochuang Shengji therapy (the therapy of supporting sores and generating muscle) belongs to the "tonic method" of internal treatment of TCM surgical sores and ulcers. Its meaning is to strengthen the healthy qi and discharge purulent, remove the rot and promote the growth of the muscle. The representative prescriptions include Tuoli Xiaodu Powder, Huangqi Decoction, Painong Neituo Powder, Shengong Neituo Powder, etc., mostly with Astragali Radix, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Angelicae Sinensis Radix and other tonic drugs, supplemented by Gleditsiae Spina, Lonicerae Japonicae Flos and other anti-pathogenic factor drugs to strengthen the the healthy qi and discharge purulent. The main mechanism of Tuochuang Shengji method in the treatment of refractory wounds include anticoagulation in the hemostasis stage, anti-inflammation and bacteriostasis in the inflammation stage, promoting angiogenesis in the proliferation stage, and promoting granulation tissue growth and re-epithelialization in the remodeling stage. The existing research on the understanding of Tuochuang Shengji therapy is mostly the method of tonifying qi and supporting sores, and there is few related literature on the remaining treatment methods. In the future, the integrity and systematicness of TCM should be paid attention to, the multi-component analysis of Tuochuang Shengji compound and the continuous research on the upstream and downstream of signaling pathways should be strengthened, the quality of research should be improved.
