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克罗地亚东部斯拉沃尼亚、巴拉尼亚和西锡尔米亚县健康教育出版物及民间医学中疥疮和虱病的治疗

Treatment of Scabies and Pediculosis in Health Education Publications and Folk Medicine of Eastern Croatia - Slavonija, Baranja, and Western Srijem County.

作者信息

Muršić Ivanka, Kuric Igor, Raguž Marija, Kovačević Tatjana, Muršić Dora

机构信息

Ivanka Muršić, MD, University Hospital Centre Osijek, Department of Dermatology and Venereology J. Huttlera 4, 31000 Osijek, Croatia;

出版信息

Acta Dermatovenerol Croat. 2018 Apr;26(1):33-38.

Abstract

Scabies and pediculosis are common parasitic infestations of the skin and hair, manifesting with intense pruritus and effectively treated with modern medications. Because of the attached social stigma linking it with poverty and poor hygiene, patients will often attempt alternative folk-based remedies before confiding in their physicians. We conducted a comprehensive bibliographical study of historic folk literature and interviewed 70 individuals experienced in everyday application of folk medicine in order to categorize available remedies and provide a modern, scientific comment on their effectiveness and dangers. Compositions containing sulfur, copper sulfate, petroleum, coal, tar, and highly alkaline soaps and washing solutions undoubtedly have scabicidal and pediculicidal properties, but they are used either in high concentrations with greater possibility of intoxication and irritation or lower concentrations with questionable therapeutic benefit. These remedies, extracted from historical-cultural frameworks, are poorly adapted to modern standards and can lead to side-effects and complications. Physicians today have to be aware of the reasons their patients seek alternative remedies and know the substances and procedures they may use in self-healing, so as to be able to provide the help that may be needed if those complications occur.

摘要

疥疮和虱病是常见的皮肤和毛发寄生虫感染,表现为剧烈瘙痒,现代药物可有效治疗。由于其与贫困和卫生条件差相关的社会耻辱感,患者在向医生倾诉之前,往往会尝试基于民间的替代疗法。我们对历史民间文献进行了全面的文献研究,并采访了70位在日常使用民间医学方面有经验的人,以便对可用的疗法进行分类,并对其有效性和危险性提供现代科学的评论。含有硫磺、硫酸铜、石油、煤、焦油以及高碱性肥皂和洗涤溶液的组合物无疑具有杀疥和杀虱特性,但它们要么以高浓度使用,中毒和刺激的可能性更大,要么以低浓度使用,治疗效果存疑。这些从历史文化框架中提取的疗法不太符合现代标准,可能会导致副作用和并发症。如今的医生必须了解患者寻求替代疗法的原因,知道他们在自我治疗中可能使用的物质和程序,以便在出现这些并发症时能够提供所需的帮助。

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