紫雲膏應用於壓瘡患者之醫案報告

A Case Report of the Comfrey Balm Used on the Patient with Pressure Sore

壓瘡常見於長時間臥床的患者，台灣的壓瘡盛行率在長期照護機構為6%。本例患者為安養中心之臥床病人，最初先以口服抗生素配合傷口護理的療效不佳，照顧者希望加入中醫治療。初期投以補氣生肌之中藥治療，傷口範圍開始變小，爾後為了加速傷口癒合再配合加味紫雲膏外敷。在本案例中壓瘡傷口邊緣呈紅紫色，按壓腫硬，顯示有深部組織損傷，局部處在發炎紅腫未消退的狀態，擔心有感染風險，故於紫雲膏中加上黃芩、黃連與黃柏以清熱消腫幫助傷口癒合，並預防感染的發生。配合外敷加味紫雲膏後，傷口癒合的速度增快，在塗抹加味紫雲膏的66天後，壓瘡於104年3月15日完全癒合。

Pressure sores are common in bedridden patients in long-term care institutions. In Taiwan, prevalence rate of pressure ulcers is 6%. A bedridden patient of a nursing home at first was treated with oral antibiotics accompanying wound care. As efficacy was low, Chinese medicine treatment was included. Initial Chinese medicine treatment strategy was to tonify qi. As a result, the wound's size began to decrease. Subsequently comfrey balm was added to accelerate wound healing. Appearance of wound(red and purple color, swollen and hard when pressed) indicated deep tissue injury. Therefore, to minimize the risk of infection Scutellaria baicalensise, Coptis chinensis and Cortex phellodendri were added to clear heat. After 66 days of treatment with the comfrey balm the pressure sore was healed.