Clinical Questions on the Moist Exposure Therapy and the Moist Burn
Ointment in Burn
Rich experience has been accumulated since the
technique of moist therapy for burn was popularized 20 years
For better grasping of the technique and
of experience, here are answers to some questions raised in the coures
of its application.
What are the
applications of the Moist Expowed Burn Therapy?
This therapy is designed for the local treatment of wounds in burn. Its
5 points of capacity have been recognized clinically. Since the wounds
in burn embody the characters of all other ulcers. the therapy for burn
possesses the capacity for treating all other ulcers. Thus, it is
feasible to apply the Moist Exposed Burn Therapy for all other kinds of
ulcers and open superficial wounds, and naturally for ulcers as an
ideal remedy. Besides, it has an action of keeping the wound moistened
and isolated. it is also a good measure for the health care of the skin.
What are the
clitheai applications of the Moist Burn Ointment?
Being a kind of r.emedy designed on the principle formulated by the
Moist Exposed Burn Therapy. this ointment, non--toxic and with no side
effect is applied. exclusively in burn and made of food material and
natural vegetarian materials. that can be administered topically and
orally. Formulated on the principles, methods and medicaments of
traditional Chinese medicine, this Moist Burn Ointment can be applied
not only in the moist exposure therapy for burn but also in other
external or internal diseases. Unlike chemicaf drugs. this Ointment.
though not a panacea, is well suited far its indications with
satisfactory results to different extent : it can be applied in burn
wound as the moist burn therapy, can be prepared as nonadhesive gauze.
It can also be applied as dress--changing material and household
medicament. It has a promising prospect and can be widely applied as a
new remedy for many disorders besides burn.
How to maer
the oboeal technique of the Moist Expend Burn Therapy as soon as
Investigation indicates that 99% of the over 3.000 physicians. after
receiving a short--termtraining of 6 days. have mastered this therapy
satisfactorily. Some even successfully cured extensive burns. As shown
by the experience of skilled physicians the following points are
essential to the mastery of the Moist Exposed Burn Therapy.
The old academic idea should be thoroughly changed.
Before practical application of this technique. the academic idea of
the Moist Exposed Burn Therapy and mechanism of the therapy should be
well understood. For instance, regarding the idea of disease therapy,
it should be noted that the therapeutic measures for a kind of disease
is not necessarily onry relied on a single method; It Should be kept in
mind to choose the best method after therapeutic practice instead of
sticking to the old traditional method. New idea is essential here. By
the hypothesis of the Moist Exposed Burn Therapy. the liquefaction
phase is a necessary process for eliminating necrotic tissue and is
.therefore, beneficial to its healing. In case you stick to the theory
of traditional idea of dry exposure therapy which is incorrect. you
would inevitably fail to grasp the law of liquefaction and is due to
fail in its treatment. It is recommended that. before grasping a new
technique, one must only retain the kernel of old things as its basis.
i. e. the theory of the developmental law of pathogenesis of a disease,
and to comprehend this with one's new practical experience so that new
idea and method can be developed.
Grasping the medical law.
After mastering the theory, observe the therapeutic process by
selecting a small area of deep II burn and treated strictly on the
basis of formulated process of the Moist Exposed Burn Therapy. The
treatment must be carried out until the wound heals, notwithstanding
whatever unexpected clinical symptoms and signs occur. As soon as you
cure a burn patient by yourself, with this new technique. the
impression of the new idea that it can be and has been cured by the new
technique will be refinforced. So far. only this moist exposure method
offers a chance for observing the whole changing process of burn wound.
When you review the design theory and mechanism of the Moist Exposed
Burn Therapy. your cognition complete the leaping forward process of
from perceptual to rational knowledge. Then you can proceed further
into the treatment of large area or extensive burn.
To reinforce the grasping of this technique.
No mather whether you have grasped the theory of the Moist Exposed Burn
Therapy or not, you should follow strictly the method of manipulation
for this therapy when treating a burn patient. As soon as you solve the
problem of pain in burn with this method. you would naturally go
further to probe its mechanism and eventually accept its theory. In
addition, when encountering a case with sub--scabial infection with
serious infection in the granulation tissue, after you fail to cure it
with all other measures, you may mechanically try the procedures of the
Moist Exposed Burn Therapy which, upon resolving you difficuit problem,
might persuade you. At this point. you would certainly not stubbornly
hold that liquefaction of the wound,is the result of infection. To take
another example. A wound, which has a chronic course with few exudate
yet appears lifeless can be treated outright with the Moist Exposed
Burn Therapy. By then. you would witness the changing color of the
wound with white secretions. It appears to be full of life and readily
healed. At this moment, you would naturally acceDt the facts that the
moist measure promotes its healing and agrees with the TCM philosophy
that "without pus. there will be no regeneration of tissue". You would
no longer stick to the old notion that only asepsis and bacteriocide
would promote healing.
Skillfully grasp the procedure of moist exposure technique.
The manipulation should be performed and varied on the basis of
different phases of the wound. The paste should be distributed evenly.
At the early or exudation stage, only little paste is administered. Be
sure that it covers the whole surface of the wound. At the stage of
liquefaction . sufficient paste should be used and the liquefied
materials be cleaned up in time. During this phase the process of
liquefaction proceeds from superficial to the deeper layer. The wound
surface becomes depressed and caved in. In case the necrotic tissue
does not drop spontaneously, operation may be helpful. For debridement,
only the necrotic tissue is to be removed . Beware not to make a
thorougy ckeaning until the wound bleeds. Debridement and paste
application may be performed at the same time. Hemostatic may be used
to stop bleeding . At the stage of repair, the necrotic tissue in the
wound has been totally excluded. The base of the wound is now under a
rapid process of tissue repair. Repeated paste application in small
amount is needed and the secretion and metabolites must be removed in
time. As soon as the depression at the wound disappears, this
demonstrates that a deep burn has its dermis completely reginerated. At
this point, there are very few exudates. The wound should be cleaned up
again, including wet compress for 1/2 hour to temove the exudates and
medicaments, A new surrounding is now established. Fresh moist exposure
therapy should be followed until total epidernidalization and ocmplete
healing of the wound is reached.
The Chinese Journal of Burns Wounds &
Surface Ulcers, 1989