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脓肿的保守治疗已逐渐被外科专家所肯定［４］．单纯的西医保守治疗主要是针对感染的细菌种类选用针对性较强的抗生素，但是当炎症较局限，或脓肿壁已形成时，即使有较高的血药浓度，对脓肿内的细菌作用也是有限的，因此，在临床上，单纯的抗生素治疗常显效较慢，且有由于脓腔内细菌大量繁殖生长及内毒素浓度高而腐蚀脓壁，导致脓壁破裂而致炎症扩散的可能，本组病例中，有５例因单纯应用抗生素治疗过程中出现了炎症扩散而改行了开腹引流．近年来有人主张在Ｂ超引导下行穿刺引流，但由于需要反复多次穿刺，且也存在着穿破脓壁的可能［５］．中医认为，阑尾周围脓肿属“肠痈”范畴，主要是由于湿热壅积、瘀滞不散而致热盛肉腐而成壅脓，治宜内外结合，内服外敷［６］．治疗组病例内服薏苡败酱散，排脓消痈．在方中重用薏苡仁以排脓开壅利肠胃，轻用附子振奋阳气，并藉以行郁滞之气，佐以败酱草破瘀排脓，使热毒及瘀滞脓液俱从大便排出，并可加用适量大黄，通里攻下，荡涤肠胃湿热，促进胃肠蠕动，从而有利于阑尾周围脓肿的消散和吸收，及胃肠功能恢复，而且对防止脓肿而致的粘连性肠梗阻也有十分重要的意义．大蒜的主要有效成分为大蒜辣素，具有显著的抗菌作用，此外，还有抗真菌和抗原虫作用．另外，其?
Conservative treatment of abscess has gradually been recognized by surgical experts [4]. Simple western medicine conservative treatment is mainly targeted at the type of bacteria used in infection of the more targeted antibiotics, but when the inflammation is more limited, or the abscess wall has been formed, even with high blood concentration, the bacteria within the abscess is limited Therefore, in clinical practice, simply antibiotic treatment often effective slow, and due to the abscess bacteria multiplication and growth and endotoxin concentrations of high and corrosive pus wall, resulting in the rupture of the pus wall inflammation may spread, this group Of the cases, 5 had an open drain due to an inflammatory spread during antibiotic treatment alone. In recent years, some people advocate the B-guided puncture and drainage, but due to the need to repeatedly puncture, and there is also the possibility of piercing the pus wall [5]. Chinese medicine believes that the abdomen around the appendix is “bowel” category, mainly due to hot and humid plot, stasis and caused by heat Shengfu rot from purulent pus, should be combined inside and outside, external application [6]. In the treatment group, the patients took Coix Cassia Powder and eliminated the pus. Reuse Yiyiren in the side to eliminate pus and purge the stomach, light acupuncture to boost yang, and to take the stagnation of Qi, accompanied by defecation Pusu Pus pus, so that heat toxicity and stasis pus both stool Discharge, and can be added with the appropriate amount of rhubarb, Tongli tapping, swallowing stomach heat, promote gastrointestinal peristalsis, which is conducive to the abdomen around the appendix disappearance and absorption, and gastrointestinal function recovery, but also to prevent abscess caused by adhesive intestine Obstruction is also of great importance. Garlic is the main active ingredient allicin, has a significant antibacterial effect, in addition, there are anti-fungal and anti-protozoa role. In addition, it?