基于“玄府气液”理论探析肛周脓肿分期辨治策略

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[关键词］肛周脓肿；玄府气液；分期辨治

[中图分类号］R266 [文献标志码］A [文章编号]0256-7415（2025）18-0169-05

DOl：10.13457/j.cnki.jncm.2025.18.032

Stage-Specific Diagnosis and Treatment Strategies for Perianal Abscess Based on "Sweat Pore-Qi-Fluid" Theory

CHEN Wenjuan1，XIAO Xia²，WANG Shujuan1，HE Xingling1，YU Chengdong1 1.AfiliatedGuangdongHospitalofIntegratedTraditioalChineseandWestenMedicineofGuangzhouUniversityofChineseMedicine， Foshan Guangdong 52820o，China；2.ShantouHospitalofTraditional ChineseMedicine，Shantou Guangdong 515ooo，China

Abstract：Perianalabscess is primarily caused bydownward infusion of damp-heat and toxin accumulation due to blood stasis，often progressingto ulcerativefistulas that consumeqi and damage blood.Thecore pathogenesis involves dysfunctionof the opening-closing of sweat poreand disorderedqi-fluid metabolism．Guided bythe dynamic perspectiveof the "sweat pore-qi-fluid"theory，thisstudy analyzes the pathological evolutionof perianalabscess， establishes astage-specific treatment system，in which the main treatment is tounblock sweat poreand restrain toxinat mass stage，to open xuanfu to rupture abscesses at suppuration stage，and to regulate sweat pore and reinforce healthy qiatulceration stage.Therapeutic approaches includetherapyof circling sore with wet powdered medicine to regulate sweat pore opening-closing and intercept disease progression at mass stage， toxin-expellng and suppurationpenetrating therapy to restore qi-fluid transport channels atsuppuration stage，and suppuration-promoting and fleshregenerating therapyand sweat pore-regulating and healthyqi-reinforcing therapyto repairthesweatpore microenvironment at ulceration stage．This achievessequential treatment through dynamic regulation of sweat pore opening-closing andrestoration ofqi-fluid metabolic balance，providing theoretical and practical references for optimizing traditional Chinese medicine management of perianal abscess.

Keywords：Perianal abscess； Sweat pore-qi-fluid theory；Stage-specific diagnosis and treatment

肛周脓肿是因肛腺感染引起的肛周疾病，发病急促、手术创面广泛且愈合缓慢，易并发伤口感染、疼痛加剧及复发等问题，严重时将造成脓毒血症、败血症、坏死性筋膜炎等，威胁患者的生命。（剩余7187字）