中药熏洗疗法治疗肛周湿疹的研究进展  

Herbal fumigation for treatment of perianal eczema

作　　者：李华山[1] 张欣宇[1] 王晓锋[1] 

机构地区：[1]中国中医科学院广安门医院肛肠科,北京市100053

出　　处：《世界华人消化杂志》2013年第29期3078-3082,共5页World Chinese Journal of Digestology

摘　　要：肛周湿疹是肛肠科最常见的皮肤疾患,以瘙痒、皮损多形性、渗出及易复发为特点.治疗重点在于缩小皮损范围,缓解患者肛周瘙痒、渗出等不适症状和解决肛周湿疹易复发等问题,治疗较为棘手.目前最主要的治疗方法仍然是外用糖皮质激素,但不良反应多且停药后易于复发.中药熏洗疗法以中医辨证论治为理论基础,突出个体化原则,注重局部与整体相结合,具有作用直接,疗效显著,不良反应少,患者易于接受等优势,逐渐成为治疗肛周湿疹的常用方法,为治疗提供了新的思路.近年来,对中药熏洗疗法的作用机制、临床应用及不良反应发生情况等方面的研究取得了一定的进展.本文将从以上角度进行全面综述.Perianal eczema is the most common skin condition of the perianal area, which is characterized by itching, various lesions, exudation and recurrence. The key points for the treatment of perianal eczema are to reduce skin lesions, alleviate the discomfort of itching and exudation, and solve the problem of easy relapse. Glucocorticoid therapy is still the main treatment, but it is associated with many adverse reactions and recurrence. Since herbal fumigation based on syndrome differentiation, following the principle of individualization, combining local and systemic therapies, and having the advantages of direct contact to perianal skin, exact efficacy, and less adverse reactions, it has gradually become a common treatment for perianal eczema and provides a new alternative to the treatment of this condition. In this paper, we will review the progress in research of herbal fumigation for perianal eczema with regard to mechanism of action, clinical application and adverse reactions.

关 键 词：中药熏洗疗法 肛周湿疹 研究进展 

分 类 号：R244.9[医药卫生—针灸推拿学]