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中医与外科医生。

Chinese medicine and the surgeon.

机构信息

Institute of Chinese Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.

出版信息

Chin J Integr Med. 2011 Jul;17(7):548-55. doi: 10.1007/s11655-011-0791-2. Epub 2011 Jul 3.

DOI:10.1007/s11655-011-0791-2
PMID:21725883
Abstract

The surgeon aims at a direct, complete removal of the pathology. In spite of the modern advancements of imaging facilities and precision instrumentations, unsatisfactory results and recurrences are not uncommon. This paper provides a general review of the four specific areas in surgery that would benefit from Chinese medicine. Extensive searches were made on four surgical areas based on available English language journals, viz. low-back pain, chronic ulcers, renal calculus, and enuresis in children, in the past 10 years. The quoted communications are mainly related to clinical evidences, while a smaller number of crucial laboratory reports are also included. Low-back pain, a most frequent orthopaedic problem, would benefit from acupuncture treatment. Chronic leg ulcers could achieve better results of healing using herbal supplements. Problems of renal stones, besides the conventional methods of removal, could be further supplemented with herbal drinks that aim at prevention of recurrences. Enuresis in children, an untreatable common condition, may respond well to acupuncture. Surgeons should keep an open mind. In case of difficulties, they could seriously consider options of traditional treatment.

摘要

外科医生的目标是直接、完全地切除病变组织。尽管现代影像学设备和精密仪器有了进步,但不满意的结果和复发并不罕见。本文对中医可能受益的四个外科领域进行了综述。在过去的 10 年中,我们根据现有的英语期刊,对四个外科领域(腰痛、慢性溃疡、肾结石和儿童遗尿症)进行了广泛的搜索。引用的文献主要与临床证据有关,同时也包括了少数关键的实验室报告。最常见的骨科问题——腰痛,可通过针灸治疗受益。使用草药补充剂可以更好地治疗慢性腿部溃疡。除了传统的结石清除方法外,还可以使用草药饮料来预防复发,以进一步补充肾结石问题。针灸可能对儿童遗尿症(一种难以治疗的常见病症)有效。外科医生应该保持开放的心态。如果遇到困难,他们可以认真考虑传统治疗方法的选择。

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引用本文的文献

1
Folium pyrrosiae ingestion has no effect on the thermodynamic or kinetic urinary risk factors for calcium oxalate urolithiasis in healthy subjects: a poor prognosis for alternative treatment in this type of stone former.服用石韦对健康受试者草酸钙尿路结石的热力学或动力学尿液危险因素无影响:对这类结石患者的替代治疗预后不佳。
Urolithiasis. 2015 Feb;43(1):21-7. doi: 10.1007/s00240-014-0722-8. Epub 2014 Sep 20.

本文引用的文献

1
Limb salvage in extensive diabetic foot ulceration: an extended study using a herbal supplement.广泛糖尿病足溃疡的保肢治疗:一项使用草药补充剂的扩展性研究
Hong Kong Med J. 2008 Feb;14(1):29-33.
2
Treatment of diabetic foot ulcer: an overview strategies for clinical approach.糖尿病足溃疡的治疗:临床处理的概述策略
Curr Diabetes Rev. 2006 Nov;2(4):431-47. doi: 10.2174/1573399810602040431.
3
'Back to the future' for Chinese herbal medicines.中药“回到未来”
Nat Rev Drug Discov. 2007 Jul;6(7):506-7. doi: 10.1038/nrd2350.
4
Alternative and complementary therapies.替代疗法和补充疗法。
Adolesc Med Clin. 2006 Oct;17(3):521-46; abstract ix. doi: 10.1016/j.admecli.2006.06.008.
5
Chinese herbal medicines and their efficacy in treating renal stones.中草药及其在治疗肾结石方面的功效。
Urol Res. 2006 Dec;34(6):365-72. doi: 10.1007/s00240-006-0068-y.
6
Mechanisms of acupuncture analgesia for clinical and experimental pain.针刺镇痛治疗临床和实验性疼痛的机制。
Expert Rev Neurother. 2006 May;6(5):661-7. doi: 10.1586/14737175.6.5.661.
7
Differences in characteristics of nocturnal enuresis between children and adolescents: a critical appraisal from a large epidemiological study.儿童与青少年夜间遗尿症特征的差异:一项大型流行病学研究的批判性评估
BJU Int. 2006 May;97(5):1069-73. doi: 10.1111/j.1464-410X.2006.06074.x.
8
Antilithiatic effect of Asparagus racemosus Willd on ethylene glycol-induced lithiasis in male albino Wistar rats.天门冬对雄性白化Wistar大鼠乙二醇诱导的结石形成的抗结石作用。
Methods Find Exp Clin Pharmacol. 2005 Nov;27(9):633-8. doi: 10.1358/mf.2005.27.9.939338.
9
The effect of short-contact topical tretinoin therapy for foot ulcers in patients with diabetes.短期接触性外用维甲酸治疗糖尿病患者足部溃疡的效果。
Arch Dermatol. 2005 Nov;141(11):1373-7. doi: 10.1001/archderm.141.11.1373.
10
Dermagraft, a bioengineered human dermal equivalent for the treatment of chronic nonhealing diabetic foot ulcer.Dermagraft,一种用于治疗慢性不愈合糖尿病足溃疡的生物工程人真皮替代物。
Expert Rev Med Devices. 2004 Sep;1(1):21-31. doi: 10.1586/17434440.1.1.21.