【摘要】 介绍曹烨民教授诊治硬皮病性坏疽的临床经验。认为本病病位在“络”，发病特点为“虚、邪、瘀”，治疗上可分为内治法和外治法。内治法分期论治，急性发作期以“清”为要，方选自拟凉血和营方加减以清热凉血、和营通络；好转恢复期治疗上以“养”为主，温清并用，方选自拟扶正清解方加减以扶正化瘀、凉血通络。外治法分阶段论治，以消、托、补贯穿治疗全程，提倡手术宜迟不宜早，使用阶段性、渐进性清创与创面换药等方法建立良好的创面微环境，保护护场，促进创面愈合。并附验案2则。更多还原

【Abstract】 This paper introduces the clinical experience of Professor Cao Yemin in treating scleroderma gangrene(SG), which he identifies as primarily affecting the "collaterals(luo)" and characterized by "deficiency, pathogens and stasis". The treatment can be divided into internal and external therapies. Internal therapy is tailored to the specific phase of the disease. In the acute phase, the primary focus is on "clearing", using modified self-formulated Liangxue Heying Prescription to clear heat, cool the blood, harmonize the nutritive and blood levels, and resolve stasis. During the remission phase, the emphasis shifts to "nourishing", where a combination of warming and clearing methods is used. The treatment prioritizes supporting vital qi, resolving stasis, cooling the blood, and unblocking the collaterals, with modified self-formulated Fuzheng Qingjie Prescription specifically designed for the treatment. External therapy is tailored to the specific stage of the disease, with an emphasis on the principles of elimination, support, and supplementation throughout the treatment process. Surgical intervention is advised to be delayed rather than performed prematurely, allowing for staged and progressive debridement and wound dressing techniques to establish a favourable wound microenvironment, protect the wound and surrounding tissues, and promote healing. Two proven cases are presented for illustration.更多还原