痈(carbuncle)是皮肤毛囊及皮脂腺周围组织急性化脓性炎症。唇部为好发部位,尤以上唇多见。我国民间早有“面天善疮”的认识。故我科从1984年10月起采用了中西结合方法,收治20例唇痈患者,收到了满意的效果,报告如下: 一、治疗原则:围绕本病,起病急、变化快,易扩散合并病较多的特点。首先改善患者全身情况,增强机体抗病的能力。(1)首选药物抗生素,针对病原菌选用有效的定量的抗生素,并在急性感染期联合用药2～3种,有效地控制感染,并阻止耐药菌株的产生,保证较长的疗程。(2)中医中药,限据中医辩证,唇痈多属热证。实证,表现一系列毒热内燔的症状。一般以清热解毒为主,兼顾津液,若热入营血则应清热凉血解毒。本科应用的方剂主要是解毒大青汤随证加减(见附方)。如,脉洪舌苔黄腻,热毒内盛,重加生石膏,知母以清泻阳明实热;高烧神昏热入营血,重加大青叶、升麻, Carbuncle is an acute purulent inflammation of the tissues around the skin follicles and sebaceous glands. Lip as a good site, especially in the upper lip more common. China’s folk long ago, “facial sore” awareness. Therefore, our department from October 1984 onwards with the method of combining Chinese and Western, 20 cases of patients treated lip, received satisfactory results, the report is as follows: First, the treatment principle: around the disease, acute onset, rapid change, easy to spread and merger More features. First of all, to improve the general condition of patients and enhance the body’s ability to resist disease. (1) the preferred drug antibiotics, effective quantitative antibiotics against pathogens, and in the acute infection period combined with 2 to 3 species, effectively control the infection and prevent the emergence of drug-resistant strains to ensure a longer course of treatment. (2) Chinese medicine, limited to dialectical Chinese, lip 痈 are mostly hot card. Empirical evidence of a series of toxic heat burned. Generally detoxification-based, taking into account the body fluid, if the heat into the blood should be heat and cooling blood detoxification. The prescription is mainly applied to detoxification Daqing Decoction with the addition and subtraction (see attached). Such as, pulse Hung yellow tongue coating, heat toxic Sheng, re-add gypsum, Anemarrhena clear diarrhea Ming real heat; high fever god fainting into the blood, plus blue leaves, cohosh,