目录

Integration of Chinese and Western Medicine in MEBT

(Abstract)

Gao Mingren

(Binzhou Medical College, Shandong Province)

In this paper , the author , at first , made an explanation of the supreme principle of MEBT, i. e. compliance with the nature. This is also the supreme principle of Chinese philosophy and traditional Chinese medicine . Secondly, the author explained that the guiding ideology of MEBT in resolving contradictions is also based on the principle of compliance with the nature . Thirdly, the author emphasized that the auccess of MEBT is based on the integration of Chinese and western medicine.

The author's opinion, though concise, hit the nail on the head. It would help people to have a better understanding of the theoretical basis of MEBT and conventional dry burn therapy and the integration of Chinese and western medicine.

A Brief Talk on the Concept of Wholism in MEBT

(Abstract)

Li Tianyu Zhao Junxiang Yang Guoming

(Nanyang Centre for Burns)

In the whole course of the development of MEBT, concept of wholism plays a great role as the guiding ideology. The standardized and scientific therapeutic administration of MEBT fully embodies the cincept of wholism.

This paper gives and explanation of the concept of wholism in the practice of wound management , systemic treatment and emergency treatment in MEBT.

Experimental Research on the Mechanism of the Effect of MEBO

(Abstract)

Qu Yunying Wang Yunping Qiu Shicui Li Boqing

Kang Guoying Chen Jinrong Liu Xiqing

Liu Tongshen Fu Zhiqiong

(Dept of Microbiology , Binzhou Mecical College)

This research studied the effect of MEBO on the production of interleukin-1(IL-1) by skin cell of mice , using MTT thymocyte proliferation method . The results indicated MEBO obviously enhanced production of IL-1 by skin cell of mice . Another experiment , using behavior method proved that MEBO increased pain threshold of MEBO treated rabbits and those treated with Vaseline was of significance (P<0.01), especially at 9 minutes after application of MEBO (p<0.01). We found that bacteria in the medium containing MEBO can have morphological variation and the variation characterstic and variation time were distinct with different bacteria. The results suggested that MEBO's effect that promoted wound healing and reduced scar formation was much related to its effect of increasing the production of IL-1 by skin cell. MEBO could also prevent infection and stop pain.

Some Problems Concerning the Application of MEBT in

Treating Chemical Burns

(Abstract)

Yu Xien

(Hospital of the Nanjing Chemical Industrial (Group) Company)

The author made a survey of the literature and gave a retrospective view of the clinical experience in the treatment of chemical burns , including the application of water therapy, use of neutralizing agents, application of MEBT and the incidence of intoxication by absorption , etc.

The author concluded that MEBT/MEBO had characteristic effect in treating chemical burns . The curative rate was 99.93%(1558/1559). The incidence of intoxication by absorption of chemicals was only 0.32% (15/1559). MEBT/MEBO alleviated pain in the wound , prevented local and systemic infections. The problems of progressive necrosis of stasis tissue and scar formation after healing of deep second degree wounds are solved. MEBT/MEBO has very good effect on the neutralization dilution and excretion of poisonous chemicals . MEBT/MEBO is worthy to be popularized for the treatment of chemical burns.

Clinical Effect of Burn Skin Lipid Protein Complex

(Abstract)

Hong Sitong

(Burn Dept. General Hospital of Bebxi Iron & Stell (Group) Company)

Burn skin lipid protein complex (LPC) is made up of heat shock proteins and skin immune cell proteins. Over the past 30 years , researchers demonstrated that LPC effects on normal lymphocyte function . Low serum LPC level activated polymorphonuclear leucocyte to produce IL-1, IL-2 and lgG, while high serum LPC level inhibited their production . The LPC was up to many thousand fold more immunosuppressive than endotoxin. This toxic complex has been found, upon entering blood circulation , to cause severe syndromes i. e. MOF and SIR, implicating in the induction of late death. Experts recommended the application of cerium nitrate on eschar to kill PLC, because cerium nitrate has a high specific to LPC and makes it denatured in the eschar.

A Comprehensive Report on the Therapeutic Effect of MEBO in

Treating 4954 Cases of Various of Various Wounds and Ulcers

(Abstract)

Yang Kefe Ma Jianming

(No. 202 Hospital , Shenyany Minitay Region)

Yang Qi

(Dept. of Burns , Hospital of Armed Police, Liaoning Province)

Wounds and ulcers of various kinds are frequently encountered and commonly seen all over China . They are often refractory and painful and have a long disease course. Many patients have to suffer from the disease for years or even decades .

This paper gives a comprehensive report on the treatment of various wounds and ulcers using MEBO. The results were very satisfactory. The curative rate was over 92% and effective rate 100%. MEBO treatment has the advantages of short therapeutic course , no pains and quick recovery, as compared with other conventional treating methods. The cost of MEBO treatment is low , It is worthy to be popularized.

Experience with MEBT in Treating A Case of Exceptionally

Large Area Burn Previously Treated with Dry Therapy

(Abstract)

Li Yuzhen Wang Hongsheng

(Kongfen Factory Hospital fro Staff and Workers, Kaifeng City)

A patient with exceptionally large area burn , treated previously with dry therapy for 12 days , was received by our centre on August 28, 1996. The total burn area was 98% BSA and third degree burns 98% BSA. Upon hospitalization , the patient was treated with MEBT/MEBO in combination with antiinfection, nutrition supporting and viscera function protection treatment . After 230 days, 88% of the third degree burns healed spontandeously without skin grafting and 10% BSA of deep third degree burn was healed by treating with MEBT/MEBO in combination with skin grafting.

A Comparison between the Efficacy of MEBT and Dry Therapy in

Treating 200 Cases of Burn

(Abstract)

Heng Yang Zhu Yuping

(Dept of Surgery, General Hospital for Staff and Workers, Dagang Oil Field, Tianjin)

200 cases of brun were divided randomly into 2 groups. 100 patients in each group. In the two groups, patients almost has same burn area and depth and were treated respectively with MEBT and conventional dry therapy. A comparison of the efficacy between the two groups revealed that MEBT is superior to conventional dry therapy in many respects.

A Comparison Between the Efficacy of MEBT and Dry

Therapy in Treating 325 Cases of Burn

(Abstract)

Xi Zhenping Sun Weihai Zhang Yanbing

(Hospital of Jingxing Mining Bureau, Shijiazhuang City, Hebei Province)

Patients with burn area over 10%BSA and deep second degree were divided randomly into 2 groups and treated respectively with MEBT and dry therapy . A comparison between the efficacy of the two therapeutic methods was made, which included analgesic effect, antiinfective effect , curative rate, disablement rate . The results revealed that MEBT was superior to dry therapy in all these respects. MEBT had very good analgesic effect. Its curative rate was 92%. Disablement rate was only 4% and death rate for large area burn was only 4%. MEBT showed very good efficacy in treating surfuric acid burn in digestive tract.

28 Cases of Burn Treated with MEBO

(Abstract)

Hou Shiming Wang Dongliang

(Hospital for Staff and Workers, Sanxing Chemical Industry Group, Ahhui Province)

During these years, the incidence of burn in groups has been increasing . On December 15, 1996, 28 females were sent to our hospital one hour of being burned by firecrackers. 13 of them were seriously burned. The oldest was 68 and the youngest 15 years old. 13 cases had burn area above 50%. 8 cases from 30 to 49% and 7 cases between 10 to 29%. 15 cases were complicated by inhalation injury. All the patients were treated with MEBO and associated with some other treatment was zero .

Clinical Analysis of 1135 Cases of Burn Treated

with MEBT

(Abstract)

Chen Chuiyu Jiang Wei

(People's Hospital , Quanzhou City , Fujian Province)

Clinical analysis of the efficacy of MEBT in treating 1135 cases of burn was made. The results proved that MEBT is superior to conventional dry therapy. MEBT has good analgesic and antiinfective effects . It helps to create an adequate drainage and promotes wound healing . It is easy to apply. MEBT is of first choice for treating burns.

1300 Cases of Burn Treated with MEBO Using Moist

Bandaging Technique

(Abstract)

Zhou Shiyi

(Hospital of Chinese Medicine , Huaian City, Jiangsu Province)

In the past 4 years, we treated 1768 cases of various burns. Among them , 1300 cases were treated with MEBO using moist bandaging technique . The results were very satisfactory . Moist bandaging technique proved to be very practical for moderate and small burn wounds. This technique will certainly help further spreading of MEBT/MEBO.

Experience with MEBT in Treating 340 Cases of Burn

(Abstract)

Zhang Hongqing

(Central Hospital , 11th Engineering Bureau, Ministry of Railways)

In the past 8 years, the author used MEBT for treating 340 cases of burn , The results were very satisfactory. MEBT is very effective in relieving pain, preventing infection and progressive necrosis of stasis zone and reducing scar formation for deep second degree brun. It has high curative rate and quick curing effect. No disablement occurs. It is easy to apply . It does not require any special technique and strict sterilization condition . MEBT is an ideal therapy for burns.

Application of MEBT/MEBO in Treating Infants and

Preschoolers with Deep Burn

(Abstract)

Li Chuanji Hu Jianwu Guo Jinxiang

(Dept of Burns and Plastic Surgery, The 1st People's

Hospital, Shizuishan City)

Zhang Yufeng

(Nursing Dept,The 1st Peop's Hospital,Shizuishan City)

Yang Xiuping

(Hospital of Wuda District , Wuhai City , Inner Mongolia)

76 infacts and preschool children with deep burn were treated with MEBT/MEBO . The largest burn area was 45%. The average healing time was 22.75 days. 21 cases had scar formation (27.63%). All the patients healed . The results proved that MEBO is suitable for healing burn of any part of the body and of different depths. For deep third degree burn wounds, the average healing time was 42 days. The wounds healed through epithelialization . No scar formed for deep second degree burn wounds.

The authors concluded that MEBT/MEBO is at present time, the most ideal remedy for burn treatment . It is worthy to be popularized.

MEBT for Treating Electric Burns

(Abstract)

Chen Fegui

(People's Hospital , Ningguo County, Anhui Province)

Electric burn always has more than two deep wounds. Though not large in area, the wounds are often deep and accompanied with small endarterium injury. If not treated timely, they will result in throm bosisi and progressive necrosis.

MEBO helps to keep the wounds in a physiological moist environment without maceration . MEBO promotes liquefaction and removal of necrotic tissue . It creates active drainage and promotes proliferation of epithelial cell and capillary.

20 cases of electric burn were treated with MEBT/MEBO. All the wounds healed. No amputation and deformity occurred. The therapeutic course was short and the efficacy was very good.

Efficacy Analysis of MEBT in Treating 48 Cases of

Electric Burn

(Abstract)

Du Fuqin Li Fang Hui

(Hospital of Railway War Praeparedness, Qihe, Shandong Province)

48 cases of electric burn were treated with MEBT. The results were very satisfactory. The patients came in groups. In 3 groups , there 14 patients each . The largest burn area was 32%BSA. 9 cases had contact electric burn , 39 cases had electric are burn . 8 cases were complicated by respiratory tract burn , 4 cases by eyelid burn and 11 cases had bone exposure. All the patients healed. The longest healing time was 67 days and the shortest 8 days, with an average of 28.30+2.16 days. After followed up for one year, 3 cases had functional restriction of 4 fingers, 1 cases had palmaris and thenar muscle astrophy and malfunction , but they were able to deal with their own life and daily work . 6 cases had streak scar, but they had all functions recovered to normal and worked as a normal person.

Clinical Experience with MEBO in Treating Yellow Phosphorus Burn

(A Report of 50 Cases )

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Tian Shicong Xu Zhimin Xing Wei

(Jiaozuo Municipal Hospital of Chinese Medicine , Henan Province)

Anthracene and carbazole have very important industrial usages. They are explosive. Anthracene and carbazole burn is not common. Clinical experience in treating such burns is of interest . In our hospital, 10 cases burned by explosion of antracene and carbazole were treated with MEBO . The results were very satisfactory. The characteristics of the burn of this kind is that in addition to the common characteristic of thermal injury , there are some concealed symptoms of clinical importance. Doctors should take early measures for the prevention and treatment of these concealed symptoms in order to achieve good therapeutic results.

The Efficacy of MEBT/MEBO in Treating Hand Burns

(Abstract)

Hu Jianwu Li Chuanji Guo Jinxiang

(Dept of Burns and Plastic Surgery, The 1st People's Hospital , Shizuishan City)

Yang Xiuping

(People's Hospital of Wuda District, Wuhai City, Inner Mongolia)

138 patients with burn involving 201 hands were treated with MEBT/MEBO. Neither deformity nor disablement occurred. The results were compared with that of the conventional therapy. MEBT/MEBO had the advantages of its effects of promoting removal of necrotic tissue and granulation. It had analgesic , wound protecting and wound healing promoting effects . No escharetomy was needed for deep second degree and superficial third degree burns in hands. For deep third degree burn, even escharetomy and skin grafting were done, the wounds were healed through epithelialization. No scar and no deformity occurred. The appearance and function of the hands recovered very well. The average healing time of the wounds was shortened by 4 to 5 days.

13 Cases of Dermonecrosis due to Chemotherapy of Cancer Treated

with MEBO

(Abstract)

Wang Jinghua Yang Huaiyin

(Qihe County Hospital , Shandong Province)

During chemotherapy of cancer, if the drugs effuse out of the blood vessel , it will result in necrosis of the skin . This paper reports the treatment of 13 cases of skin necrosis caused by effusion of vincristin, doxorubicin and mitomycin C. Among which, 6 cases had small necrosis were treated with MEBO aline and 7 cases had deep and large necrosis were treated with MEBO in combination with surgical treatment .

All the patients were healed . A discussion on the effect of MEBO is presented.

Diagnosis and Treatment of Burn Complicated by

Respiratory Failure

(Abstract)

Zhao Junxiang

(Nanyang Centre for Burns)

Severe burn complicated by respiratory failure , if not treated early has high death rate. Mixed type respiratory failure is most common. It has rapid onset and often occurs at early stage post burn . One of the clinical manifestations is persistent hypoxemia. It is necessary to take early measures for prevention and treatment. Blood gas analysis should be done at early stage . When partial oxygen pressure comes to lower than 7.98Kpa , mechanical ventilation and positive expiratory end pressure method should be applied timely . It is very difficult to cure patient after the symptoms of respiratory failure become severe . In that case, the death rate will be very high.

Fluid Infusion for 162 Cases of Severe Burn Treated

with MEBT

(Abstract)

Hu Dongcai Wang Xinmin Hu Qianli

(Medical School, Jiangxi Province)

The permeability of capillary wall of burn patients is altered. Body fluid loss is very significant and blood volume decreases quickly. This will result in shock. In order to prevent shock and help the patients to tide over the shock smoothly. Fluid resuscitation and blood volume replenishment should be adopted timely. This is a key link in the treatment of burns.

Some Cosmetic Problems in the Application of MEBT

(Abstract)

Zhao Ruiqing Jia Shengbin

Shang Jixian Li Mingshen

(Taiyuan Medical Centre, China Science and Technology Centre

for Burns, Wound and Ulcers)

(Dept. of Burns and Plastic Surgery , The 2nd People's Hospital of Taiyuan)

By the improvement of the burn salvage and treatment technology, curative rate of large area burn patient is increased. Now attention is paid not only to the saving of life but also to the recovery of functions, especially, pigmentation of skin in five sense organs of five sense organs caused by deep burn, etc.

We used Xu Rongxiang's newest technique MEBT for the treatment of pigmentation of skin as early as possible at the end of liquefaction stage after facial burn. The results were very satisfactory.

42 Cases of Scarred Skin Healed with MEBO Scar Lotion

(Abstract)

Wang Jihuan Pan Xinhai

Zhang Yuan Pan Shun

(Linqu County Hospital, Shandong Province)

The authors used MEBO Scar Lotion for treating 42 cases of scarred skin involving 68 scars. The results were very satisfactory.

This lotion is very effective for relieving subjective symptoms, softening scarred tissue , inhibiting hyperplasia of scar and improving skin elasticity . The authors suggested that persistent application of MEBO Scar Lotion is very important. Do not give up , use is perseveringly and coordinate wit dirigation. That is the key to the success of the treatment .

Nursing Experience in Treating A Case of Exceptionally

Large Area Severe Burn with MEBT

(Abstract)

Zhao Yang

(Kongfen Factory Hospital for Staff and Works, Kaifeng City)

This paper introduces our nursing experience in the treatment of a cases of exceptionally large (98%BSA) severe burn using MEBT.

Efficient and rigorous nursing program program helped to give full play to the efficacy of MEBT in th treatment of such severe case . Our experience will be helpful to clinicians and nursing workers practicing in the field of burn treatment .

The Application of MEBO in Treating Surface Ulcers

(Abstract)

Li Guangji Guo Cunhui

(Jining Centre for Burns, wounds and Ulcers, Inner Mongolia)

30 cases of surface ulcer were treated with MEBO. The results were very satisfactory . MEBO has quick analgesic effect. It protects the ulcer from infections and promotes healing. MEBO is easy and simple to apply. It is of first choice for treating surface ulcers and is worthy to be popularzed to grass-root medical units.

Experience with MEBO in Treating 86 Cases of Surface Ulcers

(Abstract)

Sheng Weixing

(Hospital of Chinese Medicine, Pudong New District, Shanghai)

86 cases of surface ulcer were treated with MEBO. The results were very satisfactory . MEBO has strong anti-inflammatory and analgesic effects. It promotes the healing of the wound and lessens the formation of scar . The inspection of the wounds during the treating course is easy and the cost is low.

Second Degree Acute Radiation Dermatitis Treated with MEBO

(Abstract)

Song Yibing Pu Xuyang

Song Xiaoqi Yi Junwei

(People's Hospital, Langzhong City , Sichuan Province)

36 cases of second degree acute radiation dermatitis were treated with MEBO . The results were very satisfactory. MEBO had good analgesic and anti-infective effects and proved to of first choice for treating radiation dermatitis.

MEBO for Healing Wounds after Miles'Operation

(Abstract)

Xiao Muzhang Ma Enqing Qu Zhiting

(Xiangya Hospital)

12 cases post Miles's operation were treated with MEBO and 18 cases of the same disease were treated with conventional method. A comparison of the results revealed that MEBO treatment had the following advantages over the conventional method:

1. MEBO protected the wounds. It had antiinfective and analgesic effects.

2. The healing time of the wounds was significantly shortened.

MEBO is worthy to be popularized for treating wounds post surgical operation.

Clinical Analysis of 36 Cases of Pernio Treated with MEBO

(Abstract)

Gao Shuyuan

(Hospital for Staff and Workers, Bailing Colliery, Dazhu

County, Sichuan Province)

In our hospital , 36 cases of pernio were treated with MEBO and 20 cases of the same disease were treated with Unguentum Pernionis. A comparison between the efficacy of the two drugs was made. The results revealed that MEBO was superior to Unguentum Pernionis. MEBO had good antipuritive , analgesic and antiinfective effects . MEBO can improve microcirculation . Wounds treated with MEBO healed quicker than those treated with Unguentum Pernionis.

Clinical practice proved that MEBO is a good drug for treating pernioes.