Treatment of Stage III Pressure Ulcers
Hello, my father has developed severe pressure ulcers due to being bedridden and unable to turn over, with two wounds reaching stage three and one at stage four.
He has already undergone debridement surgery.
I would like to know what traditional Chinese medicine (including topical applications) or acupuncture therapies can promote wound healing.
Thank you for your guidance!
Ying Yang, 40~49 year old female. Ask Date: 2007/10/19
Dr. Hou Yuchang reply Traditional Chinese Medicine
Dear Yingyang,
This requires a comprehensive approach, both internally and externally.
Generally, patients need to take herbal decoctions, depending on their condition.
Sometimes it is necessary to "drain pus," while other times "nourishing both Qi and blood" is required; it is essential to evaluate the patient in person to determine the appropriate treatment.
For external use, you can purchase "Sheng Ji San" or "Sheng Ji Yu Hong Gao." You may inquire at the Chinese medicine pharmacy of China Medical University Hospital or Chang Gung Memorial Hospital about their availability.
To my knowledge, there is currently no literature supporting the use of acupuncture to promote wound healing.
Wishing you peace and health,
Dr.
Hou Yu-Chang
Attending Physician, Department of Traditional Chinese Medicine
Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2007/10/19
More Info
When it comes to treating Stage 3 and 4 bedsores (pressure ulcers), traditional Chinese medicine (TCM) offers various approaches that can complement conventional treatments. Bedsores are serious wounds that can lead to severe complications, so it is crucial to manage them effectively. Here’s a comprehensive overview of TCM methods that may aid in the healing process.
1. Herbal Remedies
TCM utilizes a variety of herbal formulas that can be applied topically or taken orally to promote healing and reduce inflammation. Some commonly used herbs include:
- Huang Qi (Astragalus Root): Known for its immune-boosting properties, Huang Qi can help enhance the body's healing response.
- Dang Gui (Angelica Sinensis): This herb is often used to nourish the blood and improve circulation, which is essential for wound healing.
- Bai Zhi (Angelica Dahurica): It has anti-inflammatory properties and can help reduce swelling and pain associated with bedsores.
- Yao Guo (Coptis Chinensis): Known for its antibacterial properties, it can help prevent infections in open wounds.
These herbs can be prepared as decoctions or poultices. For external application, a paste made from these herbs can be applied directly to the sore to promote healing and protect against infection.
2. Acupuncture
Acupuncture is another TCM practice that may help in the recovery from bedsores. By stimulating specific points on the body, acupuncture can enhance blood circulation, reduce pain, and promote healing. Points that may be targeted include:
- St36 (Zusanli): Known for its ability to boost overall vitality and immune function.
- Sp6 (Sanyinjiao): This point is believed to nourish blood and improve circulation.
- Li4 (Hegu): Often used for pain relief and to promote overall well-being.
Acupuncture sessions should be conducted by a licensed practitioner who can tailor the treatment to the patient's specific needs.
3. Dietary Considerations
In TCM, diet plays a crucial role in healing. A diet rich in nutrients that promote skin health and healing is essential. Foods that can be beneficial include:
- High-protein foods: Such as lean meats, fish, eggs, and legumes to support tissue repair.
- Fruits and vegetables: Rich in vitamins and antioxidants, such as berries, citrus fruits, and leafy greens, which can help reduce inflammation and promote healing.
- Healthy fats: Such as those found in nuts, seeds, and fish, which can support skin health.
4. Lifestyle Modifications
In addition to herbal remedies and acupuncture, lifestyle changes are crucial for managing bedsores. Regular repositioning of the patient is essential to alleviate pressure on vulnerable areas. Using specialized mattresses or cushions can also help distribute weight more evenly and reduce pressure.
5. Consultation with Healthcare Providers
While TCM can be beneficial, it is essential to consult with healthcare providers, especially when dealing with severe bedsores. Integrating TCM with conventional medical treatments, such as wound care and possibly surgical interventions, can provide a more comprehensive approach to healing.
Conclusion
In summary, traditional Chinese medicine offers various methods that may aid in the treatment of Stage 3 and 4 bedsores, including herbal remedies, acupuncture, dietary adjustments, and lifestyle modifications. However, it is vital to approach the treatment of bedsores holistically and in conjunction with conventional medical care to ensure the best possible outcomes. Always consult with healthcare professionals before starting any new treatment regimen, especially in the case of severe wounds.
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