皮肤病经方方证对应论治体悟  

Clinical application of classic formulae in treating dermatosis

作　　者：熊兴江[1] 李海霞[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中华中医药杂志》2011年第2期297-299,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2003CB517103);国家自然科学基金资助项目(No.90209011)~~

摘　　要：现行临床对皮肤病的认识多局限于一种常规套路、范式,论病因病机多为脏腑失调、气血失和、经络不畅、六淫外感,治疗多采用对应病机的相关方药,导致久经临床验证的经方在教材和临床中却不常见。经方治病有一种特殊的辨治用药思路——方证对应,即不论面对何种专科疾病,都从整体出发,以患者表现出的症状体征为治疗用药靶向,考虑使用直接对应的相关方药。在方证对应原则指导下,运用柴胡桂枝汤、桂枝汤、麻黄连翘赤小豆汤治疗慢性荨麻疹,麻黄杏仁薏苡甘草汤治疗皮肤瘙痒症取得一定疗效。The etiology and pathogenesis of dermatosis mainly include zang-fu disharmony,derangement of qi and blood,blockage of channel,exogenous pathogenic factors and so on in TCM.Conventional therapy based on pathogenesis may lead to the negligence of classic formulae in the textbook and clinic.The theory of formula corresponding to syndromes,which is based on clinical experience and classics,is a unique model contained in classics of TCM when we diagnose and treat diseases.Making symptoms and signs as the therapeutic targets,related formula is selected directly according to formula syndrome differentiation.Under the guidance of the principle of formulae corresponding to syndromes,we successfully treated chronic urticaria by bupleurum and cinnamon decoction,guizhi decoction and mahuang lianqiao chixiaodou decoction,cutaneous pruritus by maxing yi gan decoction.

关 键 词：荨麻疹 皮肤瘙痒症 桂枝汤 麻黄连翘赤小豆汤 麻杏薏甘汤 

分 类 号：R275[医药卫生—中医皮科]