Institute of Chinese Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
Chin J Integr Med. 2011 Jul;17(7):548-55. doi: 10.1007/s11655-011-0791-2. Epub 2011 Jul 3.
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.
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。