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正文 第八十九章 古代的外科郎中(第1页/共4页)

明代有一位有名的外科郎中,叫陈实功,著有《外科正宗》一书,全书共12卷157篇对痈疽、疔疮、流注、瘰疬、瘿瘤、肠痈、痔疮、白癜风、烫伤、疥疮等外、伤、皮肤、五官科疾病,“分门逐类,统以论,系以歌,淆以法,则微至疥癣,亦所不遗”。分析详尽,论治精辟,治法得当,并附若干医案,令人信服。 可是现在是成化年间,此时陈实功还没有出生,所以也就没有这本书,外伤医治发展到明朝成化年间,大都的药方都是清淤化毒、止血消肿、清热解毒,消肿止痛为主,在抗病菌上没有深入,只是当出现感染后怎么去清热解毒,消痈排脓上下功夫。而章子俊所准备的就是一些防止细菌感染前期工作,当真的伤口感染后,就太迟了。

章子俊处理好公上铭的伤口后,又来到公上缨床前,此时公上缨也换掉了身上的衣服,看上去身体很虚弱,不过人是清醒的,看着一切正常,就去外间跟丁三针商讨起了接下去的医病法子,别看现在伤口包扎好了,接下去才是关键,在没有抗生素的时代,这样处理出来的伤口,是听天由命的,首先过几天后,伤口周围就会出现水肿,能不能挺过去就看自身的抗病能力了。出现水肿后,也意味着转成化脓的开始,最后感染到血液里面成为败血症。

前期的症状就是发烧,最后病情恶化。这一切的起因就是缝合伤口时没有清理好,由细菌引起。

章子俊一边说着,一边让丁三针开具破伤风的药方,此时的破伤风药方就是玉真散,药方里面有什么药组成,章子俊不知道,只能让丁三针补缺,做为明朝的有名外伤郎中,当然是记熟于胸的,章子俊又问了丁三针的外用药是什么?丁三针道:“老夫用的是花蕊石散 ,专治跌扑损伤及金疮、刀、箭、兵刃所伤,乳香、没药、羌活、紫苏、细辛、草乌、蛇含石、厚朴、白芷、降香、当归、苏木、擅香、龙骨、南星、轻粉、麝香、花蕊石,此药每日换药一次。这也是老夫的本家祖传方,如此等刀剑伤,不是老夫吹,行医这些年来无有不好的。”

章子俊并不想要丁三针的药方,也记不住,所以俩人就探讨起了伤口感染后该怎么办的法子,这是章子俊目前最关心也是最担心的事。

对于细菌感染最好的理解就是疮痍,因为这种背疮在古代得病的人很多,背疮虽小,但真的会要人命。 用章子俊的眼光来看,一个小小的背疮而已,怎么会就要了人的命呢?实际上,背疮这个看似简单的皮肤病,在医疗设备以及卫生条件落后的古代,还真的会造成死亡。

这种疾病,一般是由金黄色葡萄球菌感染引起的多个毛囊及其周围组织的深部感染,说白了,就是一种加强版的毛囊炎。而引起病灶的原因有很多,或出在饮食方面,如常吃一些刺激性的食物,又或出在自身抵抗力方面,如常见于糖尿病人身上。

为何这种病灶多生于背部呢?主要是人的背部,毛囊旺盛,同时分泌的 『加入书签,方便阅读』
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