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中医外治法治疗急性踝关节损伤的药物治疗进展

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急性踝关节损伤是一种急性软组织损伤疾病,如果不能得到及时有效的治疗,可能形成陈旧性踝关节损伤,久治不愈.目前临床多以手法、理疗、康复、手术等为主要治疗手段.中医外治法是一种特殊的中医骨伤治疗方法,有着近几千年的历史.中医外治法治疗急性踝关节损伤的药物主要以中药治疗为主,剂型主要包括软膏剂、贴膏剂、贴剂、散剂、熏洗剂、中药封包剂等,使用比较广泛的是软膏剂、贴膏剂、散剂三种老剂型,熏洗剂、中药封包剂是近年来应用较多的两种新剂型,可能与目前方便的加热设备有关.中药外用和内服共用还相对较少,可能与内服涉及专业中医师个性化把脉开方煎药等条件制约,也可能与患者经济负担增加有关.本文参考近年相关文献就中医外治法治疗急性踝关节损伤的药物治疗现状进行了归纳总结,为临床提供参考.
Progress in the treatment of acute ankle joint injury by external treatment of traditional Chinese medicine
Acute ankle joint injury is an acute soft tissue injury.If not treated in a timely and effective manner,it may lead to old ankle joint injuries that cannot be cured for a long time.At present,the main treatment methods in clinical practice are manipulation,physical therapy,rehabilitation,surgery,and other main clinical treatment methods.Traditional Chinese medicine external treatment is a special method of treating bone injuries in traditional Chinese medicine,with a history of nearly thousands of years.In order to understand the usage of medicine in the external treatment of acute ankle injury,authors have reviewed relevant literature in recent years and foundit has been found that drug therapy mainly relies on traditional Chinese medicine treatment,formulations such as ointments,patches,medicated plasters,powders,fumigation solutions,and packaged herbal medicines.The most widely used older formulation types are ointments,patches,and powders,whereas two new formulation types,fumigation solutions and packaged herbal medicines,have been widely used in recent years,which may be related to the current convenient heating equipment.In the external treatment of Chinese medicine for acute ankle joint injury,the main drugs are Chinese medicine treatments,and the dosage forms mainly include ointments,pastes,patches,powders,fumigation agents,and Chinese medicine encapsulation agents.The three most widely used dosage forms are ointment,paste,and powder.Fumigation agents and Chinese medicine encapsulation agents are two new dosage forms that have been widely used in recent years,which may be related to the convenient heating equipment that is currently available.The sharing of traditional Chinese medicine for external and internal use is relatively rare,which may be due to the limitations of personalized pulse diagnosis,prescription,and decoction by professional Chinese medicine practitioners,as well as the increased economic burden on patients.This article summarizes the current status of drug therapy for acute ankle joint injury using traditional Chinese medicine external treatment methods based on relevant literature in recent years,providing a reference for clinical practice.

acute ankle injuryexternal treatmentdrug therapytraditional Chinese medicineformulationtreatment progress

闫双银、李丹丹、邵丽红、闫松辰

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联勤保障部队大连康复疗养中心小平岛疗养区,辽宁 116023

大连医科大学,辽宁 116051

急性踝关节损伤 外治法 药物治疗 中药 剂型 治疗进展

2024

天津药学
天津市医药集团有限公司 天津市药学会

天津药学

影响因子:0.794
ISSN:1006-5687
年,卷(期):2024.36(3)