I.Physiological Considerations
1.生理描述
Scars are such a common occurrence in everyone's experience that little attention is paid to them unless a large area is involved or a cosmetic or functional problem results from the location of the scar.
除非由於疤痕處面積較大，從而影響個體美化效果或者引起功能上的問題。在個體的生命歷程中，疤痕的形成是非常一般的事件，以至於個體幾乎不在意它們的存在。
Scars are regarded as products of the natural repair of injured tissue. The healing of surgical incisions or lacerations which are closed by approximation with sutures differs from the healing of open wounds such as third-degree burns, stasis ulcers, or decubitus ulcers. Other types of scars may be produced by infections or certain inflammatory diseases.
傷疤被看做是：機體對受傷組織進行本能修復的產物。對於外科形成的切割傷口、或者是針對撕裂處的縫合，和開放性傷口（例如：三度燒傷、淤血性潰瘍、褥瘡潰瘍）來說，身體修復的機制是不同的。也有一些傷疤可能是由感染或者某種炎症性的疾病導致的。
The healing of surgical wounds begins with the body's outpouring of blood and serum into the defect, the formation of fibrin from fibrinogen, and the migration of fibroblasts and blood vessels into this matrix. New collagen is laid down by the fibroblasts, and a new epidermal surface forms from the migration of epidermal cells across the wound gap. At first the newly formed collagen is very cellular and richly supplied with blood vessels, but in time both the cellularity and blood vessels diminish. The bright red color of the new scar gradually fades to a pearly color in a year or so, and at this point the scar remains more or less stable.
機體對於外科傷害的修復，開始於血液、血漿沖創傷處流出，由纖維蛋白原組成的纖維蛋白的形成，纖維組織母細胞及位於創傷處血管的遷移。新的膠原質由纖維組織母細胞將其平敷於患處，而且隨著傷口處表皮細胞的遷移，一個新的表皮的表面形成了。起初，這些新形成的膠原質是一群細胞組織，並且完全由血管來提供補給，但是這些細胞結構和血管最終會減少。經過一年左右的時間後，新形成的傷疤會有起初的鮮紅色逐漸淡化為類似珍珠的顏色，從這種角度來說，傷疤處基本變得牢固穩定了。
In superficial wounds, where only a portion of the dermis is destroyed, epithelial cells may migrate from the remnants of sweat glands or hair follicles to form the new surface. The final healing might be a slightly depressed scar such as often is seen in acne or the deeper infections of impetigo or chicken pox. Large boils or papular or cystic acne may produce considerably deeper scars, sometimes of the "ice-pick" variety.
對於皮膚表面的創傷，即一部分真皮受到破壞，那些位於汗腺或毛囊處的多餘的上皮細胞會轉移至創傷處形成新的覆蓋面。修復過程的最後一步，即可能會形成令人沮喪的疤痕，常見於痤瘡粉刺、膿皰病或水痘傳染病的深處。大的癤或瘡、丘疹、胞囊的痤瘡粉刺，這些都可能導致相當深層的疤痕，有時就像各種『冰凌』。
Large deep wounds - where the dermis is destroyed, such as in third-degree burns - pose a different problem for the body. In the absence of adnexal structures such as hair follicles, sebaceous and sweat glands, repair of the defect is by way of granulation tissue. Granulations are capillary buds extending upward to the surface and carrying with them fibroblasts and inflammatory cells. Once a good granulating surface is established, epidermal cells may migrate across to cover the healing surface, but if the wound is large, grafts may be required. Beneath the new thin epidermis new collagen is laid down. The resulting scar may be smooth, but often it presents an irregular, sometimes ropy surface. Shrinkage of the tissue may result in contractures and deformity.
那些較大較深的傷口，即真皮被破壞（例如三度燒傷），會使機體形成另一個難題。因此，由於附件結構（如體毛毛囊、以及分泌脂質和汗液腺體）的缺失，機體會形成一層粗糙的組織對創傷面進行修復。對於創傷處來說，毛細血管的新的生長端會從皮膚下部擴充至表面，而且攜帶著纖維組織母細胞和負責消除炎症的細胞。一旦這種覆蓋面被基本確立後，表皮細胞會轉移並覆蓋此處，但是如果創傷面較大，可能會要求採取移植的手法。在這層剛形成的，薄的表皮之下，新的膠原質會逐漸填充。這種情況形成的疤痕可能是很光滑的，但是通常會是不整齊不規則的，有時會形成粗糙的皮膚表面。一些組織的收縮可能會導致攣縮和殘缺。
Keloids and hypertrophic scars result from an abnormal growth of collagen tissue in a scar. They are elevated, swollen, tense, and sometimes painful. Usually keloids and hypertrophic scars develop in recently healed wounds. Keloids may be quite massive and deforming; excision frequently results in an even larger keloid. This type of growth is most commonly seen in the black race, and often they are found on the upper portions of the trunk, neck, or ears. Unlike keloids, hypertrophic scars may regress spontaneously after a few months, but at times the distinction between hypertrophic scars and keloids is impossible to make.
疤腫和增生性傷痕是由創傷處膠原質組織的不規則生長造成的。這些膠原質隨著生長被提升，脹大，令皮膚表層繃緊，有的時候甚至會引起疼痛。通常來說，疤腫和增生性傷痕會在近期集體修復過的傷口中形成。疤腫體可能會是相當巨大，而且變形的；切除方法的使用常常會帶來更大區域的疤腫。以上描述的這種膠原質的生長類型在黑色人種中是非常常見的，通常發生在個體軀幹的上部，頸部或是而耳部。和疤腫不同的是，增生性傷痕可能在經過幾個月後會自動還原，然而有時，兩者最終的修復結果可能會差不多。
Of the 16 readings in the Circulating File on scars, only two touch on the physiology of scars, and thus comments necessarily will be brief. Do scars impair the normal functioning of the body?
在循環系統的檔案中有關於疤痕的16個解讀中，只有2個影響到生理上的疤痕，因此，相關的註解必然很簡短。疤痕會損害機體正常的生理機能嗎？
Apparently some do, as in 487-17, "any scar tissue detracts from the general physical health of a body, for it requires a changing in the circulation continually." In contrast, in 440-3, when asked if apparently extensive scars on the abdomen and legs were detrimental, Cayce replied, "little or no hindrance." The same reading also gives a tantalizing hint on the origin and nature of scar tissue: ". . where tissue has been in the nature of folds-or scar tissue, produced from superficial activity from the active forces in the body itself, in making for coagulation in any portion of the system, whether external or internal."
顯然有的時候，會的。正如解讀487-16，「任何疤痕組織都會或多或少的影響個體的生理健康情況，因為它需要機體在創傷處進行循環系統上的改變。」相反，在解讀440-3中，當凱西被問到：位於機體腹部和腿部的大範圍疤痕對個體來說是否有害，他回答道，「幾乎不會對個體產生任何影響。」同樣的這種解讀也適用於那些帶有天生的，與生俱來疤痕的個體身上：「在那些自然形成的疤痕或褶皺的位置，某種組織會借由機體自身的原創性力量，透過體表的活動而形成，構成機體任何部分（無論是內部還是外部）所需的凝結物。」
Just what is meant by "folds" is difficult to guess. Perhaps it refers to an as yet unappreciated feature of scar coliagen. The term "coagulation" is used repeatedly in the readings. [2423] had a lack of it, and healing could not take place. [1377] had an abnormality of coagulation, and adhesions resulted, and in reading 440-3 it appeared to refer to a healing property. It seems to be a broader term than simple clotting of blood, and might be referring to complex biochemical processes involving fibrinogen and other serum proteins and numerous enzymes. (Further study of many more readings mentioning coagulation may be necessary to clarify Cayce's meaning. In Dr. William McGarey's commentary on " Leukopenia-Leukocytosis," coagulation is seen as the rebuilding of cells throughout the body.)
出現在解讀中的『褶皺』一詞很難去理解。可能凱西所謂的『褶皺』就是指：疤痕膠原的外表看起來還沒得到舒展的一種情形。『凝結物』這一詞彙在解讀中被常常提及。2423號個體由於個體缺少凝結物，所以集體的修復過程不能進行。1377號個體的體內凝結物的狀態異常，並導致粘著。在解讀440-3中凱西指出，凝結物具有修復功能。凱西所指出凝結物的功能範圍好像很廣泛，而不僅僅是令血液凝結，可能還參與了影響到纖維蛋白原、其他的血清蛋白和諸多酵素的一系列複雜的生物化學過程。（透過更進一步研究凱西提到凝結物的解讀後，會更清楚地瞭解凱西所表達的意思。在William McGarey博士關於『白血球減少—白血球增多』的評論中瞭解到，這種凝結物被當做是對全身細胞的重組。）
The essential, practical point in these readings is that scars are not necessarily the end point in the healing process In some cases, at least, total eradication is possible; "remember the whole surface may be entirely changed if this is done persistently and consistently ... in the course of two to two-and-a-half years, a new skin!" (440-3) Some scars, however, cannot be entirely eradicated. In 3167-1 regarding the scars from abscesses which had been lanced, "Can't pull out nail holes!. . may pull out the nails, but we can't pull out the holes!" This would seem to indicate that incision and drainage of abscesses indiscriminately would be a poor practice, although Cayce did recommend at times lancing of boils.
在這些解讀中，最重要、實用的觀點就是：在某些案例中，機體修復的過程中不會必然的留下疤痕，或者說，至少完全清除掉它們是可能的；「如果個體可以堅持不斷的這樣做下去，那麼他的整個體表會得到整個的改善…在兩年至兩年半的期間內，個體的皮膚會煥然一新！（440-3）」但是，有些疤痕是不能被完全消除掉的。在解讀3167-1中，就影響到由膿瘡破裂而形成的疤痕，「就像你無法把釘眼拔出一樣！您可以拔出釘子，但釘眼還在。」這一點顯示出：隨意地切口和排除膿瘡內的液體的行為有欠考慮，儘管凱西有時建議刺破膿瘡。
II.Rationale of Therapy
2. 治療原理
The treatment of cutaneous scars is covered in all readings but two which deal with adhesions and chronic inflammation. These two will be discussed separately at the conclusion of this review.
In most of the readings on cutaneous scars, by which is meant healed wounds, camphorated oil was suggested, either alone, or alternated with olive oil and tincture of myrrh, or diluted with other oils. The best description of the effects of these prescribed medicines is given here:
針對於皮膚上疤痕的治療辦法，在解讀中都沒有被直接給出，但是其中有兩個解讀提及到粘著和慢性炎症。這兩個案例會在文章的結尾分別進行討論。在大多數有關皮膚疤痕（也就是修復傷口）的解讀中，摻入樟腦油是被建議使用的，或者單獨，或者和橄欖油、沒藥酊劑，或其他油類稀釋後混合使用。以下文字是對以上被描述的藥物療效的最好說明：
... olive oil - properly prepared (hence pure olive oil should always be used) - is one of the most effective agents for stimulating muscular activity, or mucous membrane activity, that may be applied to a body ... tincture of myrrh acts with the pores of the skin in such a manner as to strike in, causing the circulation to be carried to affected parts [scars] ... camphorated oil is merely the same basic force [olive oil?] to which has been added properties of camphor in more or less its raw or original state, than the spirits of same. Such activity in the epidermis is not only to produce soothing to affected areas but to stimulate the circulation in such effectual ways and manners as to combine with the other properties in bringing what will be determined, in the course of two to two-and-a-half years, a new skin! (440-3)
…橄欖油—精心預備的（使用純橄欖油）--是對肌肉組織和粘膜活動產生刺激的最有效的一種媒介之一，橄欖油可以套用個體的全身…，沒藥酊劑透過皮膚的毛孔進入體內發揮作用，促進受影響區域（疤痕處）的血液循環…摻入樟腦油也有類似的功效（橄欖油？），或多或少也會擁有樟腦的藥效，要注意的是加入的樟腦要是生的或者呈其原始狀態，而不是提煉的精油。在皮表上的這種操作不僅會撫慰疤痕區域，而且還可以透過結合其他的作用給機體帶來所需要物質的方式來刺激患處的血液循環，持續兩年至兩年半左右時間，皮膚會重現光彩，跟新的一樣！（440-3）
The muscle activity stimulated by the olive oil may refer not only to striated skeletal muscle, but also to the smooth muscle in the intestinal walls, and in the walls of small arteries and arterioles. Perhaps such activity stimulates the circulation within the scar tissue leading toward that activity which is necessary to absorb the scar collagen. Both the camphor and tincture of myrrh were also described as stimulating the circulation. Camphor is also called a soothing force. Camphor is classified by Goodman and Gilman as a hydroaromatic gum obtained from the bark and wood of the tree, Cinnamomum camphora, which is grown in Taiwan and Japan. It is classed as a rubefacient, which means it produces capillary dilatation, in accordance with the Cayce information. If taken internally it causes nausea and vomiting, and large doses of solid camphor in children may cause convulsions. Therefore, camphor lotions should be kept out of the reach of children.
透過橄欖油刺激的各項肌肉活動不僅影響到條紋狀的骨骼肌，而且還能使腸壁肌肉和大、小動脈的血管壁變的平滑。可能是這些活動速進了疤痕組織內部的血液循環，從而引發了吸收疤痕處膠原質的行為。在解讀中，樟腦和沒藥酊劑都被認為是有助於促進血液循環。樟腦起鎮靜的作用。樟腦被Goodman 和Gilman定義為：一種來源於樹木木質和樹皮的氫化芳族的樹脂，香樟樹，生長於台灣和日本。它被當做一種發紅劑，結合凱西的資訊，就是說它可以促進毛細血管擴張。一旦被使用進入體內，會導致個體出現噁心和嘔吐，當兒童大劑量的攝入後，會引起個體的抽搐。因此，樟腦外用藥水或洗劑應該放在兒童不能觸及的地方。
III.Suggested Therapeutic Regimen
3.建議的治療性膳食
Since camphorated oil appears to be the key to the treatment of cutaneous scars, it is important that it be accurately defined. Camphorated oil is no longer made commercially as it was in Cayce's day. At that time, it was made with natural gum camphor in olive oil. Presently available is a synthetic camphor in cottonseed oil; therefore, it may not be a satisfactory substitute for the camphorated oil referred to in the readings.
既然摻有樟腦油對於皮膚疤痕的治療如此重要，那麼準確詳細的說明指導就變得很重要。現在不再像凱西所處的時代那樣，將摻入樟腦的油類用於商業用途。那時，是將天然的樟腦樹脂加入到橄欖油中。現在是將合成的樟腦加入到棉籽油中；因此，現在製成的產品不能夠取代凱西解讀中所指的『摻入樟腦的油類』，其效果也不能相比。
Case [440] was experiencing extensive scarring on the legs and abdomen. Massage was suggested alternating equal parts of tincture of myrrh and olive oil on one day followed the next day by camphorated oil. (The olive oil is to be heated before adding the tincture of myrrh, and only enough for the day's massage is to be prepared.) This sounds like an ideal program for extensive scars.
在案例440中，個體腿部和腹部有較大範圍疤痕。解讀建議在一天內對皮膚同一區域用摻有等量沒藥酊劑、橄欖油的混合液，緊接著第二天套用摻有樟腦的油類。（橄欖油應該在加入沒藥酊劑之前被加熱，每次調配只需滿足當日需要即可。）對於較大區域的疤痕治療，這是一個不錯的辦法。
The successful removal of severe burn scars on [2015] was accomplished with a formula that has become a classic Cayce remedy:
按照以下的配方，案例2015中的個體成功的清除了嚴重的燒傷疤痕，因此也成為了凱西治療疤痕的一種經典手段：
Camphorated oil, 2 ounces
摻有樟腦的油 2盎司
Lanolin, dissolved, 1/2 teaspoon
融化的羊毛脂 1/2茶匙
Peanut oil, 1 ounce
花生油 1盎司
Dr. James L. Rowland, D.O., Ph.D., of Kansas City, apparently has used this lotion successfully in wound scars and keloids. The lotion should be gently massaged into and around the scar with the fingertips once or twice a day.
醫學博士James L. Rowland醫生，住在堪薩斯市，已經成功的將這種塗劑套用於疤痕和疤腫上了。用指尖將塗劑在疤痕處及其周圍進行適度的按摩，每日1-2次。
For active acne in case [528], an interesting lotion was prescribed:
對於案例528種患有嚴重痤瘡的個體，凱西給出了一個有趣的塗劑配方：
Camphorated oil, 2 parts
摻有樟腦的油 2份
Witch hazel, 1 part
金縷梅 1份
Russian white oil, 1 part
俄羅斯白油 1份
This lotion must be shaken very well and massaged for several minutes into the acne areas twice a day. It was said to help clear the skin and treat and prevent scars as well. (Nujol is one form of Russian white oil.)
使用這種塗劑時，必須對痤瘡區域給予充分的震動和按摩，持續幾分鐘，每日2次。據說可以說明清理皮膚並且治療、預防疤痕的形成。（Nujol是一種俄羅斯白油。）
Note that the camphorated Oil is diluted about in half in the last two formulas. A similar dilution was suggested in a burn scar case (48717), but the diluent was sweet Oil (olive oil).
注意到摻入樟腦油的濃度在兩個配方中被稀釋到原來一半。其中一個稀釋液在案例4871-7中被影響，另一個是的橄欖油。
Case [4003-1 had severe scarring, Possibly with calification and contractures, which followed an injury. Treatment was aimepd at removing the scar by absorption and excretion through the respiratory, perspiratory, and alimentary systems. Local therapy consisted of hot Epsom salts packs followed by massage using cocoa butter. Exercise, hydrotherapy, colonics, and diet were also part of the program.
案例4003-1中的個體有嚴重的疤痕，隨著鈣化和攣縮，可能會伴隨著二次傷害。治療的目的在於透過呼吸、排汗和消化系統的吸收排泄過程來清除疤痕。外療法由加熱的Epsom鹽敷袋，配合接下來用可可油的按摩構成的。鍛煉,水療法,結腸清洗和膳食，這些都是治療過程的組成部分。
Finally, in any healing, the spiritual status of the patient ma be most important.
最後，在任何治療中，患者精神上的狀態可能是最重要的：
Let the scars be removed from the own mental, the own spiritual and mental self. Turn to those things of making application of the fruits of the spirit of truth, love, patience, gentleness, kindness, long-suffering, brotherly love, putting away those little tendencies for being "catty" at times or being selfish or expressing jealousy and such.
Let that mind be in thee as was in Him, who is the way and the truth and the light, and He will make the light of love so shine through thy countenance that few, if any, will ever see the scars made by self-indulgence in other experiences. (5092-1)
讓疤痕從個體的心理和精神上被清除。個體應調整關注那些精神上的果實，如真理、愛、耐心、和善、仁慈、堅韌、兄弟之愛，及時的處理那些有時會讓自己變得陰險、自私和嫉妒以及類似狀態的趨勢。讓這種精神保留在你自己心中，就如同存在於那代表著方向、真理和光明的神的體內中一樣。透過你的支援，上帝會讓愛的光芒普照四方，以至於沒人會去注意源於自我放縱所造成的疤痕（5092-1）。
A. Adhesions
A. 粘連
Body cavities, such as the peritoneal cavity, are lined with serous membranes which extend around the organs in the cavity and allow them to slip over each other freely. Inflammation of the serous membrane may cause it to lose its slippery character and stick to itself forming an adhesion. The Cayce concept is much in accord with the traditional, but goes a bit further in defining the problem as system-wide.
體腔，如腹腔，內襯著一層漿液膜。它們延伸至腔內的每個器官，以使得彼此之間可以自由的滑動。漿膜發生炎症可能會致使其喪失光滑的特性，從而形成粘連。凱西的看法和傳統觀點有很多相似之處，但凱西將這種情況定義為全系統的難題，這一點要更進一步。
As indicated by that as has been given, the inflammation as produced in system that caused irritation to the general plasm of the blood supply tends to make the scar tissue [inflamed serous membrane?] become adhesive in its nature. (1377-8)
正如所說的那樣，系統中產生的炎症會引發對血液中血漿的刺激，從而使得疤痕（發炎的漿膜）表面在自然狀態下具有一定的粘性。（1377-8）
Treatment of adhesions was to be accomplished by vibratory applications to the back.
粘連的治療也可以採取在個體後背部實施震動來完成。
These will keep the conditions so that the adhesions will be broken entirely by the absorption that is created in the active forces of the blood supply circulation; circulation here meaning not just blood supply but the lymph and emunctory circulation, and nerve circulation as well. (1377-8)
這些操作會保持這種狀態以便於透過由血液供給循環的積極力量產生的吸收，使得粘連部位的完全脫離；此處的循環不僅包括血液的供給，還包含淋巴液，排泄器官以及神經的循環。（1377-8）
In addition, malt and codliver oil (in Pure Food tablets) were recommended for [1377] to "carry those vitamins in such quantities to assimilate best with the system." An improper coagulation in the blood apparently could be remedied by such vitamin forces.
除此之外，在案例1377中，麥芽和codliver 油（純食物片劑）是被推薦使用的，其藥效為「運送這一數量的維生素，使得機體進行最好的消化吸收。」存在於血液中的不合適的凝結物可以透過這樣的維生素力量來得到糾正。
B. Chronic Inflammation (Infection?)
B．慢性炎症（感染？）
The situation in [24231's case is difficult to diagnose from this distance. It may have represented a chronic paronychia or perhaps a granulating wound. The finger had been sprinted, and this may have led to the diminished flexibility mentioned in a subsequent letter to Cayce. The reading virtually ignored the finger, instead getting to important systemic disturbances:
在案例2423-1的中，由於時隔長久，從而使得對於該個體的疾病診斷變得很困難。個體可能患有甲溝炎或者肉芽型傷口。手指已經受到擠壓，這可能會導致其靈活度的降低，以上這些在後來寫給凱西的一封信中被提到。解讀實際上略過了手指的問題，取而代之的講述的是機體系統的功能紊亂：
... first an unbalancing of the chemical system, until little reaction, or assimilation of values of vitamin B-1 is possible, or the coagulating elements; then poisons from hydrochloric acid, or excesses of same in the system, as combined with influences without. Hence the inability for the coagulation, or for abrasions or injuries to heal. (2423-1)
…首先是機體內化學元素的失衡，以至於沒有反應了，或者說對維生素B1的吸收幾乎沒有，或者說失去了凝結能力；所以鹽酸氾濫，超出系統承受力，在體表表達出來。因此，恢復凝結的能力，那麼皮表的損傷就可以得到治癒。（解讀2423-1）.
Treatment consisted of Atomidine and the "triple salt" combination:
以下是由原子碘和"triple salt"的組合治療專案：
Rochelle salts, 1 level tablespoonful
Rochelle 鹽 1水平的大湯勺量
Sulfur, 1 level tablespoonful spoonful
硫 1水平的大湯勺量
Cream of tartar, 1 level tablespoonful
酒石乳（Cream of tartar）1水平的大湯勺量
These are to be mixed with a mortar and pestle. The use precipitated sulfur rather than sulfur flowers is suggested. Precipitated sulfur is much finer grained, and thus presents a larger active surface for the same amount of sulfur. A level teaspoonful was to be taken first thing in the morning for five days.
以上這些物質透過研缽和杵將其混合在一起。留用的是沉澱的硫，而不是那些漂浮在水面上的。沉澱的硫會形成更純淨的結晶體，因此同等量的硫，提純後會產生更好的藥效。早上起床第一件事就是食用1平湯勺的量，連續5天。
The same prescription has been found in readings on acne, boils, and psoriasis. At times the warning was given to avoid chills or wet feet while taking the prescription, and in some cases osteopathic treatment was to follow. However, in [2423]'s case, the use of small doses of x-ray was to follow five days on the "salts." Local treatment was almost incidental. Cayce suggested "cocoa butter that is dissolved or rubbed in with olive oil; as this will aid in preventing scars, even upon the areas where old sores and injuries have been so disturbing to the body." In addition the apple diet for three days was suggested for cleansing the system. At the end of the three days a tablespoon of olive oil was to complete the purge.
以前當影響到痤瘡，瘡和牛皮癬的時候，同樣的處方也曾被給出過。有時，在治療過程中一些警告也被給出：避免著涼和腳部潮濕。在某些案例中，治療後緊接著進行整骨療法。然而，在案例2423中，小劑量的X光被允許連續5天照射在這些『鹽類』上。同時，附帶著針對於局部的治療。凱西建議：可可油被融化或者磨碎後放入橄欖油中；這會有助於阻止疤痕的形成，甚至在那些由以前的瘡和傷害已經擾亂身體機能的地方也會有功效。此外，連續3天的蘋果餐也被建議實踐來清理機體內的垃圾。蘋果餐結束後，透過飲用1大湯匙的橄欖油來結束整個清理過程。
This case is indexed under "scars" because of the advice on prevention of scars with cocoa butter and olive oil. Physiologically it may be more closely related to other cutaneous conditions such as boils or psoriasis.
由於在阻止疤痕形成的建議中影響到可可油和橄欖油，所以這個案例被索引在『疤痕』下。從生理學上來講，該個體肌體上的疤痕情況更接近於瘡或者牛皮癬。
[Note: The preceding overview was written by Robert Forbis, Jr., M.D. and is excerpted from the Physician's Reference Notebook, Copyright c 1968 by the Edgar Cayce Foundation, Virginia Beach, VA.]
【註：上述文章由Robert Forbis, Jr., M.D.撰寫，摘自醫生參考手冊（Physician's Reference Notebook），版權所有屬於愛德加凱西基金會，弗吉尼亞海濱】
Note: The above information is not intended for self-diagnosis or self-treatment. Please consult a qualified health care professional for assistance in applying the information contained in the Cayce Health Database.
註：以上資訊不可用來進行自我診斷和治療。在運用到套用凱西健康資料庫的相關資訊時，詳情請諮詢有合格的健康保健醫生以尋求幫助。
原文：http://www.edgarcayce.org/
健康和恢復活力中心H.R.C.(Health & Rejuvenation Center)
探索和領悟協會A.R.E - Association for Research and Enlightenment, Inc.
215 67th Street Virginia Beach, VA 23451-2061
譯文：凱西中國http://www.edgarcayce.org.cn/page1
現代醫理疤痕概述
“疤痕”是物理、生物、化學等因素的損害作用於人體皮膚軟組織，導致皮膚軟組織的嚴重損傷而不能完全自行正常修復，轉由纖維組織替代修復留下的即影響外觀又影響功能的局部症狀。“疤痕”給患者帶來的是巨大的肉體痛苦和精神痛苦，尤其是燒傷、燙傷、嚴重外傷後遺留的疤痕。疤痕增生期的幾年時間幾乎讓患者苦不堪言。而後的萎縮期又使患者面目全非，功能障礙，造成患者極大的身、心雙重障礙。臨床上最常見的瘢痕是發生在皮膚組織上，但實際上任何深部組織及器官在創傷修復和癒合過程中都會產生各種程度的瘢痕組織和可能帶來並發症。
觀念溝通
1.與其治療疤痕，不如預防疤痕的產生。
2.受創傷越嚴重的傷口，因發炎反應越強烈，將來所形成的疤痕亦更顯著，如燒燙傷之後，如嚴重的肢體壓碎傷之後。
3.外傷後的傷口，若反复感染髮炎，則癒合後之疤痕較明顯。
4.接受手術後之傷口，最好能減少活動，否則影響傷口癒合，反而刺激疤痕產生，此即四肢關節處之疤痕通常較明顯之原因。
5.越年輕的皮膚，因彈力較強、張力較大，故產生的疤痕較肥厚、發紅、變硬，且蕭褪較慢，老年人由於條件相反，且表皮張力鬆弛，故產生之疤痕較不明顯。
6.手術後之傷口必須做好傷口的照顧及適時拆線，避免日曬及使用化妝品或保養品，減少色素沉澱及刺激疤痕的結果。
7.手術後的傷口，避免不良的疤痕產生，必須適當加壓按摩、或採用有壓迫性的黏貼物(如最泛用的紙膠布、或矽膠片)，但不可用力過猛，而使傷口裂開。
8.市面上可見的廣告物- 除疤膏或秘方草藥，實際效果如何，仍待臨床醫學考證，請小心。
9.疤痕是指皮膚因外傷或手術造成的傷口在癒合後所留下的產物，它會永遠存在皮膚上面，而很難藉由外力來予以除除。透過疤痕治療等方法可以將凹凸不平或粗大不雅的疤痕予以美化成細小、平淡而不易看得見的疤痕，而卻無法去除它。
10.正確的疤痕治療用詞應為'修疤'而非'去疤'。
疤痕- 治療方法
非手術治療
（1）壓力療法適用於瘢痕面積大，不適宜放療和局部藥物治療者。每日停用時間不超過30分鐘。該法對活動性瘢痕疙瘩效果不明顯，但可以減少術後放療和注藥劑量。
（2）化學療法使用長效類固醇製劑，直接注射到瘢痕內，來抑制瘢痕內過量的膠原蛋白，達到退化瘢痕的效果。主要副作用有皮膚萎縮、脫色、毛細血管擴張、壞死、潰瘍和類庫欣綜合徵等，大部分是可逆的。其他化學藥物如用細胞毒素、免疫抑製劑等藥物治療均有報導，但嚴重的全身副作用限制了它們的應用。
（3）放射療法切除瘢痕疙瘩後早期（24小時內）採用電子束或X線照射可以降低瘢痕疙瘩術後復發，提高治愈率。
（4）激光治療適用於沒有明顯功能障礙的扁平瘢痕，天花、水痘、痤瘡癒合後遺留的散在大小不等、高低不平的凹陷性瘢痕。
（5）其他如冷凍、蠟療、離子透入、超聲波等對增生性瘢痕和瘢痕疙瘩的治療作用，療效報告不一，缺乏大量病例對照和隨訪。
手術治療
（1）瘢痕切除後減張精細縫合是治療瘢痕中常用的一種日臻完善的手術方法，多應用於面積較小的瘢痕。手術中通過充分降低切口的張力，精細操作，減少二次損傷，來減低術後瘢痕增生的程度，臨床效果確定明顯。
（2）皮膚磨削術是對皮膚表皮層和真皮淺層進行磨削以達到改善皮膚表面不規則部分，使其變得光滑平整及顏色近似為目的的一種手術方法。適應於痤瘡、天花、水痘、帶狀皰疹、濕疹、外傷、燒傷或手術後遺留的表淺瘢痕。必要時可與瘢痕手術切除同時進行，效果優於單純磨削術。
（3）瘢痕松解局部改形術對具有張力的較小的條索狀、蹼狀瘢痕可將瘢痕切除，再用其周圍正常的皮膚組織形成皮瓣，交叉換位修復瘢痕部位的皮膚缺損。
（4）瘢痕切除游離植皮術較大的增生性瘢痕可手術切除，再從身體正常部位切取游離皮片移植到瘢痕創面上，修復創面，恢復肌膚功能。但移植的皮膚顏色往往與周圍皮膚相差較大，加之術後容易發生攣縮，牽拉周圍組織器官變形或引發功能障礙是其缺點。
（5）瘢痕切除皮瓣移植術由於皮瓣含有較多的皮下脂肪組織，除了可以用於修復瘢痕切除後的皮膚缺損外，還具有保護深層組織的作用。目前常用的擴張器技術也屬於皮瓣移植，通過在瘢痕周圍正常皮膚下面埋置擴張器，經過幾個月的擴張，可以“長出”多餘的皮膚來修復瘢痕。
術後護理
1、一般術後麻醉的藥性都是會慢慢的消失，所以手術之後還會有睡意，提不起來勁，所以要多注意休息，最好不要開車，睡覺把枕頭墊高點。
2、手術之後的一周左右不要進行運動，不要提重物等等。
3、手術之後如果有條件可以進行冰敷，便於消腫。
4、手術之後要謹遵醫囑，按時吃藥，以便術後可以快恢復。
5、手術部位嚴禁沾水，防止發生感染。
6、手術之後的運動量可以慢慢加大，不過一個月內最好不要進行較激烈的身體對抗運動。
7、嚴禁食用辛辣等刺激性食物。
疤痕修復
皮膚疤痕的形成是皮膚自身對皮膚創傷的自我修復的產物。為什麼有的人對傷口的自我修復能力特別強，再深的傷口，再大面積的創傷，最後都能修復還原自己原來的皮膚，不形成疤痕或只有不明顯的痕跡。而有的人只要有傷口則留下難看的疤痕，有的還留下瘢痕疙瘩，像條紅色的蟲子爬在皮膚上，更甚者留下大肉球。一般人有了傷口都會形成疤，有的疤有色素，有的疤又光亮一片，有的白如白斑，黑如黑斑，有的疤凸凹不平，有的硬，有的軟，有的疤拉址五官變形。造成疤的原因很多，有生瘡，生水痘留下凹坑，有燒傷，有燙傷，有電灼傷，有摔傷，刀傷，車禍造成疤，有手術，植皮術，激光術，液氮術，磨皮術而留下的疤，有抓傷疤，過敏留下疤，等等各種原因。原因儘管各異，但最終對皮膚造成的傷害是一致的---疤痕。
在身體遭受創傷之時，傷處幾乎是立即有血液流出，流出的血液很快形成凝塊，對傷口進行臨時性的保護。以後在72小時之內，新生的結締組織，再以後，新生的結締組織表面被新生的上皮覆蓋，內部有血管和神經纖維長入，在臨床上表現為瘢痕癒合。於是，瘢痕乃傷口癒合的重要產物，沒有瘢痕形成即沒有傷口的癒合。
疤痕是創傷癒合過程中必然的必需的產物，各種原因引起的創口都需要依靠疤痕組織的生成，使創口的連接。
創口創面的癒合包括三個步驟
(1)肉芽組織形成將創腔填滿，創面鋪墊平整。
(2)創緣的向心性驟縮，牽拉四周正常皮膚向內移動使邊緣互相驟擾接近。
(3)上皮再生，源於創面的皮膚表皮的新生上皮細胞向創面中心推進，逐漸覆蓋肉芽組織，形成皮膚疤痕，創面最終癒合。
疤痕預防
1、預防疤痕的第一步，就是正確的傷口照顧，不論是創傷、燙傷、皮膚感染或是手術，傷口癒合後都會產生疤痕，正確的傷口護理可以避免異常疤痕的產生。
2、於傷口拆線或傷口初步癒合後，視情況開始執行按摩療法和壓迫療法。
3、以美容膠紙或矽膠片壓貼於癒合的傷口上，美容膠紙需每天24小時貼牢，矽膠片則需貼12小時左右，貼壓的範圍必須大於傷口本身並包括周圍的正常皮膚才有效。
4、壓迫療法可以減少傷口向外拉張的力量，使疤痕變得較平、較細。
5、按摩療法可以使硬疤軟化，並且有組織擴張的效果，可以改善凸起或有攣縮傾向的疤痕。
6、對於大面積的傷口，則可考慮緊身彈性衣的壓迫治療方法。
7、不要刺激和撓抓傷痕，注意衛生。
8、可多從疤痕論壇上了解疤痕的形成過程，治療方法和預防方法。
9、發現疤痕後一定要及早使用藥物，減少疤痕的生成，早日康復。
中醫治療
針對燒傷燙傷留下的疤痕，早在幾千年前，在苗族地區的苗寨人家，很早就悟出了治療水火燙傷的方法。由於苗族早期遷徙頻繁，所到之處大多是人跡罕至的荒僻山區和瘴癘之鄉，自然條件十分惡劣，苗族民間多以火耕水種為主，終日勞作，在這些特定的條件下，不免會遇到水火燙傷的情況，因此幾乎每人都能認識掌握治療水燙火傷的方法。此方即今之苗藥燒燙靈，經歷代苗醫臨床使用，千百年來治愈患者不計其數。
水火燙傷燒傷是指燃燒物及灼熱的液體、固體、氣體以及電流等直接作用於人體，引起肌膚燙傷或燒傷，甚至火毒內攻臟腑，常伴潮紅水腫，表面大量滲出，以傷處紅腫灼痛、起泡、結焦痂為主要表現的損傷類疾病。輕者損及皮毛，甚則傷及肌肉筋內，嚴重者，火毒熾盛。傷津耗液，邪毒侵入營血，內攻臟腑而生諸症。
“火得水而滅，土得木而達”，故在證治上以清熱解毒養陰、涼血清心為主。採用苗藥燒燙靈外治療法，具有清熱解毒、利濕、止痛止血、生肌的效果，可快速停止傷口滲出，祛膿，癒合，無需應用其他抗生素類藥物，多數病例一二天可停止滲出膿血，次日開始生肌。對於傷口發炎程度比較嚴重，有潰爛化膿的患者，可起到快速止痛、舒緩、消炎，迅速生肌，快速癒合，癒後無疤痕的作用。
資料：互動百科
品名:除疤膏
【除疤膏成份】
桃仁、鴉膽子、冰片、樟腦、石堿.
【除疤膏作用類別】
除疤膏為皮膚科用藥類非處方藥藥品.
【除疤膏功能主治】
軟堅散結,活血消疤.用于因燒傷、燙傷、瘡癰、創傷等所致的增生性疤痕的輔助治療.
【除疤膏用法用量】
外用,涂敷患處,每日1-2次.
【除疤膏禁忌】
1.創面未愈合者忌用;
2.二歲以下嬰幼兒忌用;
3.硬損性疤痕或感染性疤痕禁用.
【除疤膏注意事項】
1.除疤膏為外用藥,禁止內服.
2.切勿接觸眼睛、口腔等黏膜處.皮膚破潰處禁用.
3.哺乳期婦女、兒童、年老體弱者應在醫師指導下使用.
4.天花和凹陷疤痕不宜使用.
5.對于新傷口愈合后遺留的疤痕,應在疤痕形成2-3個月后減小劑量使用.
6.如不慎入口或誤入眼睛,請即用大量清水漱口或沖洗眼睛,必要時應到醫院進行及時處理.
7.除疤膏不宜長期或大面積使用,用藥后皮膚過敏者應停止使用,癥狀嚴重者應去醫院就診.
8.對除疤膏過敏者禁用,過敏體質者慎用.
9.藥品性狀發生改變時禁止使用.
10.兒童必須在成人監護下使用.
11.請將此藥品放在兒童不能接觸的地方.
12.如正在使用其他藥品,使用除疤膏前請咨詢醫師或藥師.
【除疤膏不良反應】
偶有刺激或皮疹出現,停用幾日或減少用量后,如無不適可繼續使用.
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