Academic connotation and clinical application value of Wanshi therapy for sores and ulcers
洪湖万氏疮疡疗法的学术内涵与临床应用价值探析

摘要

本文系统梳理了洪湖万氏疮疡疗法的历史渊源与学术体系。其核心理论认为“气血瘀滞”为发病之本，确立“托里透毒”“化腐生肌”为基本治则。在诊疗特色方面，形成了明确的辨证分期治疗模式：初期以清热解毒为主，成脓期重在托毒排脓，溃后期强调生肌收口；同时配合外治药物“疮愈散”分期调配应用，并采取隔日换药的操作规范。临床观察纳入43例体表溃疡患者，结果显示全部病例均获得愈合，其中一般溃疡愈合时间为20–30天，慢性溃疡为40–98天，提示该疗法具有良好的临床疗效。在非物质文化遗产传承层面，当前仍面临传承人匮乏、技术规范不足及循证医学证据缺乏等问题。未来应通过建立系统化病例数据库、开展多中心临床研究及推进制剂标准化等措施，以促进该疗法的规范化传承与创新发展。

Abstract

This study systematically reviews the historical origins and academic framework of the Wanshi therapy for sores and ulcers in Honghu. Its core theoretical foundation identifies “qi and blood stasis” as the fundamental pathogenesis, with “tonifying the interior and expelling toxins” and “removing necrotic tissue to promote tissue regeneration” as the principal therapeutic strategies. In terms of clinical practice, a stage-based syndrome differentiation approach has been established, including heat-clearing and detoxification in the early stage, toxin expulsion and pus drainage in the suppuration stage, and tissue regeneration and wound closure in the ulcer-healing stage. This is complemented by the staged application of the external preparation Chuangyusan and a standardized regimen of alternate-day dressing changes. Clinical observations involving 43 patients with superficial ulcers demonstrated complete wound healing in all cases. The healing time ranged from 20–30 days for common ulcers and 40–98 days for chronic ulcers, indicating favorable therapeutic outcomes. From the perspective of intangible cultural heritage preservation, this therapy currently faces challenges such as a shortage of qualified inheritors, lack of standardized technical protocols, and insufficient evidence from evidence-based medicine. Future efforts should focus on establishing systematic case databases, conducting multicenter clinical studies, and promoting the standardization of formulations to facilitate its sustainable inheritance and innovative development.