目录

The clinical success of the Moist. Exposed Burn Therapy. developed by Prof. Xu Rongxiang. has received worldwide attention. American Burn Victim Foundation, with a view to officially pushing the therapy into the U nitetd States, has organized a medical group to visit China for clinical observation of the therapy. During their stay in China, they visited the hospitals in which the therapy was employed and cheCked the recovered patients who had been treated with the therapy. In order to make known to the readership what they thought of the therapy, we have selected some of the episodes which can reflect their opinion of the therapy. The exerpts are as follows ：

(Members of the Delegation are; Harry J. Gaynor. president of American Burn Victim Foundation, Anthony Barbara, professor of surgery. dean of Burn Centre of New Jersey and Helen Barbara. nurse of the Bu rn Centre.)

Dr. Xu: You must be tired to come to China over a great distance.

Dr. Barbara: Well. we are happy to be here. It is a long trip. but I think it's worth it.

Dr. Xu: The Pn hi ic Health Ministry of our country pays great attention to you r visiting.

Dr. Barbara: Thank you for what you have done for us.Now let me first tell you what we do. If you do anything differently you can tell me,then I know the difference in the procedure. When the patient comes in, we must record ot we estimate the percent of the burn to be. and we estimate what the depth of burn is. Then we bring the patient into the hospital. and / then in two or three days we will make a reassessment. we look to see if the original assessment or impression was accurate. was too much or too little.

Dr. Xu: We have the same procedure.

Dr. Barbara: The therapy we use is antibiotic topical local application, using silver suphadiazine and others. Whatever the therapy is. we do not use systemic antibiotics. we don't use intramuscular or intraveneous antibiotics until such time we see the patient becoming toxic or septic.

Dr. Xu: Using our therapy, we don't I want to use systemic antibiotics unless a burn is very big.

Dr. Barbara: In 25 to 30 per cent of burn patients who are adults. in 20 to 25 percent burn. children we use intraveneous fluid therapy.

Dr. Xu: We don't use intravenous fluid therapy in treating adult burn patients with less than 30 per cent of body surface area burned.

Dr. Barbara: That is about what we do. Then we observe the size of infection. we do biopsis of the eschar to see whether or not we have bacterial count of over 100,000 per square centimeter. The significance of this is that to this point we have treated with local antibiotics. If we have the bacterial count of more than 100.000. it means we are losing the fight. we have to go to the operating room, prepare for skin grafting.

Dr. Xu: This is a standard count, but our therapy will not allow the wound to have that number of bacteria.

Dr. Barbara: If we have this high bacterial count, we are afraid of systemic spread of the toxin and septiceamia, so our only alternative is to prepare for the operating room. We never see any problems with the partial thickness burn, no-matter which antibiotic we use. and on some partial thickness burn we do not use antibiotics. we believe antibiotics have retarding effection on healing. Now we are talking about the full thickness burn. We have more problems than you do. because for the second degree burn we do not use antibiotics. and for a full thickness burn. we use antibiotics. but it does not work.

Dr. Xu: Just because antibiotics hinder the healing of the wound. we have long time before stopped using antibiotics.

Dr. Barbara: Does your drug work on the third degree?

Dr. Xu: Yes. it works.

Dr. Barbara: That is very important. So you are actually in more enviable position than we are. We do not have good reason to use antibiotics for the partial thickness burn. ane when we use antibiotics for the next step. but it does not serve us well.

Dr. Xu: The problem is that antibiotics have no function of treating burns. they kill only bacteria. Our medicine focuses on the treatment of the burn tissue.

Dr. Barbara: Your medicine has antibiotic activity. too?

Dr. Xu: Our medicine has no function of antibacteria.

Dr. Barbara: How do you prevent infection?

Dr. Xu: We focus on the treatment of the burn tissue. This is the key point.

Dr. Barbara: I do not understand how the application of your medicine could prevent infection from happen lug.

Dr.Xu: In the past the doctors prevented infection by killing bacteria or by the way of antibacteria and bacteriostasis. Now we do quite othervvise to prevent infection. I would talk with you in details when we have time.

Mr. Gaynor: In the United States. about 72 percent of the burn patients die of infection. So we have extrem measures to take, to control the environment for the burn patient. From the Photographs brought to me, I do not see good sanitation conditions in treating patients. Is this attributed to your product or it is just a general care?

Dr. Xu: Yes. it is attributed to the medicine. Previously we have ignored the injuries caused bV the environment. The injury caused by bacteria accounts for only ten percent of all injuries to the won nd inflicted by the environment.

Dr. Barbara: Let me ask you a very important question. If your patient die. at what point of injury do they die? Our patients generally die about two to three weeks after their burns. Are you losing the patient earlier?

Dr. Xu: We lose the patient a bit later. The whole system of the burn is divided into the three stages. The first is the shock stage. we have very low mortafity at this stage, because our therapy could prevent the body fluids from losing excessively.

Dr. Barbara: Because of our fluids resuscitation. the special technique we have. we have been able to overcome the initial loss of the patient during the shock stage. Now our big problem is that the patient die of infection. We are here to try to solve the problem of infection. Your first stage is the treatment of shock. then what is your second stage?

Dr. Xu: The second stage is the treatment of infection. Of course we have patients die of infection. but very few.

Dr. Barbara: And your third stage?

Dr. Xu: Reconstruction.

Dr. Barbara: That is exactly what we do. Could you tell us when the patient comes in. in emergencey period, do you remove dead tissue first or just put the medicine on top?

Dr. Xu: In principle, we put the medicine first. then debride the wound according to the changes of wound.

Da. Barbara: When you remove the skin two or three days late, is it painful?

Dr.Xu: No Pain. We have two purposes in putting the medicine on the wound(One is that the medicine stpps pain, another that the medicine acts as a barrier agaist the injuries caused by the environment.

Dr. Barbara: Do you have to give the patient morphine or some antipain medicine when yo.u clean the wound?

Dr. Xu: No. Dr. Barbara: If a bu rn is the ful I thickness injury, there will be no pain.

Dr. Xu: We are able to relieve the patient of pain over the whole course of the treatment no matt4 what degree of burn he is suffering.

Dr. Barbara: When you have patients,do you have them all in the same area? We are at a disadvantage because we keep then in seperate roams. Very expensive.

Dr. Xu: Our patients can be put together. The patient with small area of burn can receive home . remedy with our medication.

Dr. Barbara: Another subject I would like to talk about is that. if our patients die early. they will die of respiratory complications of burns. There is nothing you can do. When the patient comes, to the hospital alive. they do not die of the reasons of losing fluids, they die. because they can not breathe.

Dr. Xu: We have not as yet got a very effective way in treating respiratory burns. We are now doing research in that field.

American Burn Delegation Talking with the Officials of the Public Health Ministry of the People's Repubnc of china

(The officials from the Public Health Ministry who received the American Burn Delegation are Xiao Ziren. director of the Scientific and Technological Bureau of PHM, Qin Xinhua.deputy director of the Bureau, Li Fumin. deputy director of Medication Regulatory Bureau of PHM. Wang Xiufeng. chief of Achievements S.ection of the Scientific and Technological Bureau and others)

Mr. Xiao: On behalf of the Scientific and Technologicat Bureau of the Public Health Ministry, I warmly welcome you to come to us for a talk. Your visiting is very much appreciated.

Mr. Gaynor: On behalf of American Burn Victim Foundation, I feel honoured to be here. Your hospitality could not be matched.

Mr. Xiao: This is the place where the last emperor of China was born, now it is in the possession of the Publ ic Health Ministry of the People's Republic of China. For dozens of years. our country's medical service, with the prevention of diseases as its main target. and directed by the Four Principles. has made much progress. The Public Health Ministuy controls all medical services across the country. The hospitals in China totalled up to more than 60,000. Our medical education, ever since the adoption of the opendoor policy. has also made much progress. Now we have about 134 medical institutions of high learning. The main scientific research institutes are:China's Academy of Medical Science. Academy of Preventive Medical Science and China's Academy of Chinese Medicine Research. These years we have done a lot of work in clinical medical science.in basi*c medical science and in preventive medical science. In order to better develope the medical service in the country. we have set up a network which links the medical service of county with those of town and village.ln the field Of foreign exchanges, we have been very active in cooperating with foreign countries. We have sent abroad more than 6,000 students for further education or for diplomas. With the World Health Organization we have set up over 50 cooperbtion centres. So we are happy with your visiting. and do hope we can start a new coope'ration in the field of burn treatment. Now you have been to some hospitals here in China. I would like to know what your impression is. and would be happy if I can answer your questions.

Dr. Barbara: First of all. on behalf of our delegation I would again like to thank the people of China in general. Thank you for allowing us the privilege to be here. Our country is much smaller and much younger than China. and unfortunately it seems that our treatment of burns is also on a smaller degree than Chinese experience. We have had burns in our country. but we have no burn experience as you have here in China. Many of our burn treatment centres have only ten to fifteen beds on average. it will be usual to find treatment centres to have thirty--five to fourly beds dedicated to the burn except for military installations. This relatively makes us small in the aspect of burn treatment. Accordingly we have had experience in treating burns which we felt had main problem of the infection and the death from the infection. This infection generally emerges one to three weeks after the hospitalization of the extensively burned patients. We think in the United States that we have been successful in handling the management of patients in the first week of life during which they will normally die from the reasons other than the infection. One of the main reasons for our trip to China was to see if we could identify a method to treat infection process or perhaps to prevent infection process from occuring, From broad experience here in China, we feel there is a good possibility that the method, thanks to Dr. Xu, has considerable promise to both prevent and treat infection. We have seen no sign of infection at either institution. We think there must be preventive mechanism in the application of the ointment and also the ointment can maintain the infection free state. We have used antibiotic therapy topically on the wound as a local application. And we have not had either prevention nor the maintainance of infected free wound with our therapy as Dr. Xu's therapy you have here. So you see we are naturally pleased we came around the world to see this methodology. Thankyou.

Mr. Gaynor: Burn injury is one of the most painful of all traumas. We don't see pain and suffering in your medical management of the patient that we so often see in the United States.

Dr. Barbara: That also is a reason for us tb come. And the other is result. The result is excellent.

Mr. Gaynor: There is no argument to its success.

Dr. Barbara: The cost is little. And the established scars seem to be able to be controlled and reduced with the application of the ointment. And the patients all seem to be very happy with the therapy because it doesn't interfere too much with their general well--being. We think this process has a good acceptance here in China and will have a worldwide application. We have Dr. Xu to thank for. and staff. of course.

Mr. Xiao: With what kind of therapy do you treat serious burns?

Dr. Barbara: Very complicated therapy. very expensive. We have designated burn treatment facilities. These facilities have numbers of beds provided to them which in most cases can only be used for burn patients. Because they are designated beds, they can not be used for other patients. The reason of our beds designated is because our system of treatment is different from Dr. Xu's, we treat each patient separately in her or his own room unless we have a disaster, we can not do that because there are more patients than rooms. But usually the room is set up for precausion technique . Dr. Xu's therapy is much simpler , and simplicity makes this very effective.

Ms. Qin: Dr. Xu's therapy is based on the Chinese medicine which has 5,000 years of history in freating burns? and developed with modern scientific theories. The scientific achievement belongs to the peoples all over the world. I believe that American burn victims are eager to receive the treatment of this therapy. So it is my hoe to push this therapy as soon as possible into the United States to benifit American burn victims.

(Translator f Ying Bo)

Discussion of the "Method" and "Medicine" of the Acute Burn Period on the Basis of Microcirculation Changes of Burn at the Early Stage

(Abstract)

Zhang Xiangqing

Burn Centre of Ji Nan Military Region

The article sums up research achievements on ., microcirculation of the wound at the early stage, expounds and proves the managing principle of the burn wound with the "Method" and "Mediclue". a dialetic rule of the Chinese medicine. It also exposes. with a critical view. the experience and lessons in treating the early stage of burns . previously, and. through clinicaj practices. shows the Moist Burn Medical Science to be superior. practical and scientific. The article makes an exposition in the following aspects;

1. The microcirculation changes of the early stage of burns;

a. The local microcirculation changes of burns.

b. The influence of a burn on the systemic microcirculation. burn toxin in the microctrcu lation, increasing permeability and oedema of blood capillary and abnormal form and haemolysis of erythrocyte.

2.The " Method" and " Medicine" of the early stage of a burn :

a. Make all the living cutaneous tissue complete physiological healing by actively employing the Moist Exposed Burn Therapy,

b. Avoid the use of wrong therapies which would injure burn tissue so as to reserve as much celluar activity of burn tissue as possible.

c. Improve the level of monitoring and diagnosis, keep careful observation on the wound and prevent various complications.

Experience of the Moist, Exposed Burn Therapy in Treatyment Four ExceptionanY Large Burnt

(Abstract)

Zhao Junxiaug et al

Nan Yang Burn Centre, He Nan

The article sums up the treatment of four exceptionally big burns with the Moist. Exposed Burn Therapy in our centre. and indicates that The therapy is surtable for such burns and that, it shortens the course, reduces the cost. The patients treated with the therapy will not be disabled, and basically have no scars left. However. it also carries the points for attention in the application to the treatment of such big burns.

1. The key point to success is to tide the patient over the shock stage. In the infusion of fluids, the traditional formula should not be applied mechanically when MEBT is used. The urine volumes being 50 to 80 ml per hour may be taken as a standard.

2. Use as early as possible the Moist Burn Ointment on the wounds. Before rejection starts. the free drainage must be ensured. The debridement may not be carried out, or if done. it should be minimal. After the debridement, the ointment must be quickly smeared on top. and 1 mm thickness of the ointment is to be maintained on the wound to seperate the wound from the air and to ensure that the wound is not left devoid of the ointment. 5 to 7 days after. the liquefied materials can be seen because of the rejection. If liquefaction does not occurs. the measures like scissoring. Cutting must be taken to reduce absorption of various toxins and meta bolites.

3. The relatively seperative environment should be provided to ensure the isolation of the ointment. The patient need the strengthened support of nourishment and must be prevented to suffer from complications. The environment of islolation requres that the temperature of a patient ward not be kept fower than 30C, that the ointment be ensured not to be reduced by staining the close stuff and that the air and goods in the ward be sterilized. The nourishment support should be carried out at the early stage and done through vein and peroral three days after. The use of cimetidine for one week prevents the hemorrhage of the upper digestive tract. Oral administration of mied if lug prevents enterotoxemia. Good retention of the respiratory tract and timely breathing of oxygen avoids the infection of the respiratory tract and breathing prostration. of the respiratory tract and breathing prostration. To guard agaist the heart and kidney failures, the heart rate and urine volums must be closely watched.

The Moist, Exposed Burn Therapy Treatment 48 Large Burn Patients

(Abstract)

Hu Dongchai Wang Qingsun

The Medical Centre of Burns and Ulcers of the PLA Hospital No. 422

Our medical centre, from January. 1988 to November. 1989. has received 48 patients whose burn areas were over 40% and all of them were treated with the Moist. Exposed Burn Therapy. 42 patients were cured; 6 died. The clinical result shows that MEBT is fully reliable in treating extensive burns. The key to success is to master the law of managing burns. We feel that. treated with MEBT, the extensive burns of the deep second degree heal without scarring and that the extensive burns of the superficial third degree heal without functional disorder. The therapy kills pain obviously, without involving pain killers. no matter how big a burn is. The volume of fluids infusion at the stage of shock is less needed, if the therapy is employed, than the conventional therapy in treating extensive burns. In the course of treatment, importance should be attached to preventing septicemia, to avoiding the injuries of important body organs and to reinforcing the support therapy. In a word. do not neglect the systemic trgatment while treating burns with MEBT.

Application of the Moist Burn Ointment to the Treatment of Large Burns

(Abstract)

Fang Dunghai et al

Kunming General Hospital of Ckengdu Munary Regiun of PLA

Since January 1988, we have treated 21 large burns with the Moist Burn Ointment. Of them, the largest bum area was 100% (80 per cent of the deep second degree burn and 20 per cent of the shallow second degree burn). the smallest 30%(21 percent of the third degree burn, 4 percent of the deep second degree and 5 percent of the shallow second degree). 16 of them were cured (the average curing time being 36 days). 5 died.

The article carries the clinical data and the methods employed. stresses on the discussion of advantages and disadvantages of the ointment, of the time and area of the application. importance is attached to the treatment integrating the Chinese medical science with the Western one. combining the use of the ointment with escharectomy and skin grafting. The analysis of the five dead patients indicates that it is necessary to prevent general complications of the large burn. The research is needed in the field of the amount and the quality of the infused fluids when the ointment is applied.

Clinical Report of the Moist Burn Ointment Treating 69 Burns Patients

(Abstract)

Ma Enqing Huang XiaoyUan Liu FaZhu Luo Cbengqun

Xie Lthua Long Jiandong

Burn Research Laboratory, the First Affiliated

Hospital of Hunam Medical University

From June, 1988 to October. 1989. 280 burns have been treated in our hospital. 69 of them were treated with the Moist Burn Ointment (24.3%). the largest body surface area (BSA) was 80% the average BSA 18.25% 38 burn wounds were cultured, 5 cases in negative; 33 cases (86.8%) in positive but no septicemia was founded. All of the 69 cases had their burn wound healed except that 5 minor ones were discharged and treated at home continuously. No skin grafting was needed in the second degree burn, the average healing time of the supersecond degree burn was 12.6 days; the deep second degree burn 24.4 days. The stamp skin grafting was used to close the granulating wound in the third degree burn except the dispersed third degree burn in two cases.

The Moist Burn Ointment is considered to be a new type of topical agent of burn wounds. it has the following advantages:

1. The application is painless and easily changed without hemorrage or pain.

2. The ointment decruste rapidly and eliminates the phase of eschar separation.

3. The scar left is smooth and clean after the wound healed.

4. It protects subeschar viable tissue and promotes the wound to heal.

5. It keeps the wound freely drained and thereby inh ibits the growth of bacteria.

APPlication of the Moist Burn Ointment to Treating 418 Burn Patients

(Abstract)

Wang Dexing

Branch of People's Hospital, Longkou City, Shandong Province

With the Moist Burn Ointment, developed by Prof. Xu Rongxiang. we have treated 418 patients and gained successful results.

The ointment. much superior to the dry and dressing therapy. has many marked properties in treating burns. among them:

1. The ointment is steady and effective. When smeared on the burn wound. it kills pain quickly without involving painkillers.

2. It prevents infection and controls infection if a wound gets infected.

3. It heals a deep second degree burn and a third degree burn of small area (less than 20 cm in diameter ) without scarring. involving no skin graf ti ng.

4. The ointment improves local blood circulation, reduces the extravasation of the wound,and thereby cuts down the infusion of body fluids to the patients. The patient treated with the ointment can be safely tided over the periods of both shock and infection.

In clinical practices, to enhance the efficacy of the ointment and shorten the healing time, we have done animal experiments many times and made reforms in the times and thickness of the ointment smeared on the wound. We have achieved better therapeutic results with less healing time and less volume of the ointment. We are happy with that the smearing of the ointment is done once at four hours intervals during the period of exudation. with 0.08 cm thickness of the ointment on the wound first. and then with 0.05 cm thickness; that once at three hours intervals during absorption period with 0.08 cm thickness and that once every sixth hour with 0.05 cm thickness of the ointment smeared until the healing is complete when the hasal stratum of the wound grow and resurface. In the peak time of Iiquefaction. the liquefied materials sh.ould be timely removed. without leaving the wound devoid of the ointment. In the later healing stage of the wound, "small white bulbs ", which indicates stoppage of the seat glands. should be timely ripped open and let go of the secretions to ensure the free drainage of the glands.

Another marked function of the ointment is the treatment of soft hypertrophic scars. The ointment, if smeared tWice a day with 0.1--0.2 cm thickness. on the scar left not beyond three months on a very deep burn wound. will reduce a hypertrophic scar and prevent it from growing further.

Clinical comparison between the Moist Therapy and the Dry Therapy

(Abstract)

Guo Zkengckun

The Medical Team of the Seen Yang Fire Brigade

From June. 1988 to November. 1989. we have received 684 patients whose burn and scalding areas were small or medium.

Adlibtum 200 of them with the second degree burn were selected as a group the moist group ) to be clinically compaired with the same number of the patients having the same type of burn. treated with the dry and dressing therapy (the dry group ).

The result of the comparison is as follows:

1. The average healing time: It took 7.52 days for the moist therapy to heal a superficial second degree burn and 1 8.53 days to heal a deep second degree burn. The dry therapy took 8.86 days to heal a superficial second degree burn and 21 .47 days to complete the healing of a deep second degree bu rn.

2. The infection reate of the wound: The moist group had 37 patients infected. accounting for 18.5 per cent (All were cases for diagnosis after infection ). The dry group had 79 patients infected, making up 39.5 per cent (Those that came for diagnosis after infection were included.).

3. The skin grafting rate of the wound: No patient treated with the moist therapy received skin grafting. but the group had 37 patients skin grafted. accounting for 18.5 per cent.

4. The scarring rate: 18 patientS of the moist group had scars left, accounting for 9 per cent (These were the patients who came for the treatment 12 hours after burning of even after infection ). The dry group had 77 scarring patients, accounting for 38.5 per cent. P<0.001.

The comparison demonstrated the superiority of the moist therapy to the dry therapy in treating the second degree burns of small or medium area, especially in treating the deep second degree burn. The moist therapy effective and reliable. has functions of killing pain and of controlling infection. A deep second degree burn. treated timely with the moist therapy. will produce no scar after healing. because timely treatment can improve the microcirculation of the wound and restore the tissue of the stasis region. Because of its simpjicity. it is particularly good for the emergency treatment as in the fire extingushing battle of our fire brigade.

Clinical Understanding of the Moist Burn Medical science

(Abstract)

Liu Jingwen

Jia Musi Brawl of Beliing Guangning instibe of Burns and Ulcers

The article discusses the understanding of the Moist Burn Medical Science through the treatment of 150 burn patients with the Moist Burn Therapy. It sums up the differences between the Moist Burn Medical Science (MBMS) and the Dry Burn Medical Science (DBMS). The following are some of their differences:

1. DBMS finds no way in killing pain; M BMS kills pain quickly.

2. DBMS focuses on keeping the wound dey; PMBMS on maintaining moisture in a wound.

3. DBMS discharges dead tissue by way of scabbing; MBMS does that through liquefaction at the time when the self rejection of the wound occurs.

4. DBMS makes the residual cutaneous tissue uncompletely heal unerneath the scab; MBMS allows the residual cutaneous tissue of a deep second degree burn to heal completely.

Clinical Observation of the Moist, Exposed Burn Therapy Treating 40 Burn Hands

(Abstract)

Wang Jikuang

The Lin on People's Hospital, Skau Dong Province

The hand burn is a clinically common condition. Because of the fine inner structure of the hand. the therapy we uSed to apply generally caused functional disorder in treating deep hand burns and thus reduced the work ability of the vicitihis. In 1987. We started to use the Moist. Exposed Burn Therapy to treat burns. Since then we have treated 40 burned hands with the therapy and scored a great success. None of the hands had functional disorder.

Its main properties:

The therapy is able to make dead tissue discharge automatically through liquefaction, to keep the wound freely drained and to maintain moisture in the wound so that the wound can re. generate in a moist environment.

When the ointment is applied. the pain stops quickly. The hand is free to move. The regenerated tissue repaires following the activity degree of the hand. which guarantees the function of the hand. The ointment has a strong antiinfection function. It is a new practical and effective therapy.

Report on the Treatment of 104 Burn Patients with the Moist Burn Ointment

(Abstract)

Meng Qingxiang Shun Degan Jiang Yuehu

The First People's Hospital of Mu Danjiang city, Hei Lonaiians convince From May, 1988 to January. 1989, our hospital admitted 104 burn patients. all of whom were treated with the Moist Burn Ointment. 69 patients had less than 10 per cent of total body surface area (TBSA) burned, 29 Patients 11--25 percent of TBSA; 6 patients 30--50 percent. The therapeutic result: All were Cured. The average healing time: 12 days for a superficial second degree burn; 18 days for a deep second degree burn. The good result of the treatment proves the medical theory put forth by prof. Xu Rong Xiang to be scientific, superior and practical

The ointment. smeared on a burn wound, keeps the wound moist. invigorates circulation of blood by dissolving stasis and promotes the restoration of the stasis region. The therapy can control infection, and stop pain quickly. It does not need the involvement of the scab incision and skin grafting. The wound treated with the therapy generally heals without scarring. The clinical practices deepen our understand lug of the therapy . its curative effect is much superior to the dry and scabbing therapy we used to employ in treating burns.

Experiment on inhibiting Contraction of the lleums from a White Mouse

(Abstract)

Li Li

Beding Guangming instibe of Burns and Ulcers

We divided the ileums from a white mouse into two groups for a comparison experiment. One group received the treatment of mormal saline plus the Moist Burn Ointment. another simply salt solution. The comparison showed that the ointment obviously inhibited the wriggling of the ileum tube. The more of the ointment we put. the stronger the inhibition was. The adhesion of the ointment to the ileum tube was not permanant. it would be removed along with drainage and inhibition of the ointment. But repeats could occur without resisting and medicine proof phenomena.

The main elements of the ointment are ketone and plant sterol colfectively called the Wound Ulcer Element, which can relax sooth musles and which can afso inhibit Schulioole reaction of the ileum. It can be explained that the ointment removes the convulsion of the smooth muscle of blood vessles and after the thirmal injury. or that it dilates small blood vessles. improves local blood circulation and promotes restoration of the microcircu lation of the stasis,region.

The Moist, Exposed Burn Therapy Treating Two Patients, one with Leukemia and Another with Diabetes

(Abstract)

Ye Shengjie

Burn Section of the PLA Hospital NO. 118

Two burn patients were admitted in 1989 to on r hospita1.

After the hospitalization, one was found to have suffered from chroniclelymph leukemia. another from diabetes. The former with the deep third degree burn being 3% We did not take care of leukemia and. with the ointment. directly treat the burn wound. The wound healed on day 9 post treatment. It took only 16 days to finish the whole course of the treatment. The latter had 8% body surface area as the deep second degree burn. At admission his urine glucoser was examined to be and. at the third day, his blood glucose on an empty stomach reached as high as 21.3mm01/L. Asked the history of the disease. the patient related that for more than half a year he had had much of food and water, and yet much of urine. He was treated with D860 and, at the same time. was put on a diet. but with no good. result. After a change for insulin the disease was to a certain degree controlled. On day 4 post hospitalization. the skin isles grew and resurfaced. At the 17th day the wound healed. It took 22 days to finish the whole course.

Treatment of Multi--Opening Wound on the Incision Where the Bridging of Arteries between the Thigh and the Back of the Knee Was Performed

(Abstract)

Zhao Yonghua Hong Shitong

Burn Section of Ben Gang General Hosoital

Inspired by mechanism of the Moist Burn Ointment in treating burns. we used the ointment to treat a multi--opening wound unhealed for a month on the insicion where bridging of arteries between the thigh and the back of the knee was performed to remove arteriosclerosis. It took only half a month before the healing of the wound was complete. The application was the same as treating burns. The ointment helps drain secretions of the wound cavity and timely removes the secretions so that the wound reconstruction would not be affected by dead tissue. Smeared on top of the wound the ointment acts as a barrier against entry of bacteria. It improves local microcircufation, increases volume of blood flow and improves the locally blood and oxygen wanting state. Favourable for the regeneration of epithelium so as to repair the wound, the clotment has a good possibility of hindering immunological rejection. which has yet to be proved.

Report on the Treadment of 25 Patients Suffering from Superficial Ulcers with the Moist Burn Ointment

(Abstract)

Lin Runbin Chen Yajun

The Chinese Medicine Hospital of Nan Guan District, Chang Cun

In May 1989, we used the Moist Burn Ointment to treat 25 patients. Of them. one Suffered from bedsore. two from beriberi. the others from superficial ulcers. After simple debridement, we smeared the ointment on the wounds. The course of the treatment was on the average 11 days. 24 of them were cured. The method was simple. without pain and side--effect. The ointment was effective in treating the superficial ulcers of the early and later stages. In treating the ulcers of the festering period. however. it was less effective.

Treatment of Radio Ulcers and Scars with the Muscle Flap

(Abstract)

Xia Zkaoji Wang Damei Li Jianning Hat Bosheng

The cntheal Hospital, Beding Mallcal uthersity The cutaneous ulcers caused by radioactive rays, scars and the canceration arising from them are clinically commen conditions, which have been challenging the doctors in plastic surgery. Previously we used skin slices and flaps to treat this type of impairments, but with no good result. The patients treated as such had a long duration of hospitalization and a high relapse. The healing was not satisfactory.

The clinical application of the muscle flap affords an extensive prospect of treating this type of impairments.Since 1980, we have applied the muscle flap to treating radio ulcers and scars. and scored a good result. This article recommends to the readers the application of the muscle flap to treating the radio ulcers and the scars, associated with the introduction of some cases. The article also includes the discussion of the characteristics of the radio ulcer and the scar, qf the superiority of the muscle flap to skin slices and ffaps and of the points far attention in an operation.