中醫常用外治法之應用，暨皮膚不良反應之處置

The Application of External Treatment of Traditional Chinese Medicine and Managements of Skin Adverse Reaction

中醫外治法泛指除口服藥物以外施於體表或從體外進行治療的方法，包括針刺、灸療、按摩、薰洗、貼敷等，在諸多外治方法中，本篇針對臨床使用率較高的天灸、艾灸、膏劑、洗劑做原理及應用整理。由於外治法直接作用於體表，使用不當可能出現皮膚的不良反應，常見不良反應有接觸性皮膚炎、火激紅斑、燙傷，本文以文獻回顧方式整理中西醫臨床處置方式、用藥方針，並討論可改善之措施，期能降低不良反應的臨床發生率，提供臨床執業醫護人員處置方針之參考。

External treatment of traditional chinese medicine(TCM) indicates therapies other than oral medication, including topical application of chinese herb, acupuncture, moxibustion , massage, and acupoint herbal patching. In this article, we will review the use of Tian-jiu, moxibustion, oinment, and chinese herb fumigation. These treatment modalities are widely used in Taiwan. Contact dermatitis, Burns, Erythema ab igne are commonly observed during external therapy. In this article, we will review current approaches and managements from the perspective of both chinese and western medicine to these adverse drug reactions. We hope the preventive measures and appropriate procedures can reduce the incidence of drug adverse reaction in clinical.