Tracing the Etiology and Pathogenesis of Pyogenic Osteomyelitis in Ancient Chinese Medicine Literature
Purulent osteomyelitis belongs to the categories of"attached bone necrosis"and"attached bone abscess"in traditional Chinese medicine.This article systematically reviews ancient Chinese literature and analyzes the understanding of the etiology and pathogenesis of purulent osteomyelitis by medical practitioners from the pre Qin to the Ming and Qing dynasties.During the Qin and Han dynasties,the theory was mostly based on"internal deficiency"and the disease was caused by external heat pathogens;During the Jin and Tang dynasties,it was believed that patients had a constitution that was hot and had not yet recovered from the external invasion of wind and cold,and were susceptible to dampness and pathogenic factors.During the Song and Yuan dynasties,it was believed that due to spleen and kidney deficiency,external factors such as wind,cold,dampness,and fire,the pathological manifestations were ultimately phlegm accumulation and blood stasis.During the Ming and Qing dynasties,it was believed that the main cause of this disease was due to deficiencies in the kidneys,spleen,and liver,leading to the invasion of wind,cold,heat,dampness,and fire.Ultimately,it provides traditional Chinese medicine diagnosis and treatment ideas for the modern clinical treatment of pyogenic osteomyelitis.
Traditional Chinese MedicineEtiology and pathogenesisLiteraturePurulent osteomyelitisAttached bone necrosisAttached bone abscess