丁樱教授从湿热伏邪解析过敏性紫癜病因病机  

Analysis on the Etiology and Pathogenesis of Hench-Schnlein Purpura Based on Damp-Heat Insidious Pathogen Theory by Professor Ding Ying

作　　者：刘萌[1] 黄岩杰[2] 秦蕾[1] 张龙真[1] 

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医学报》2017年第6期960-963,共4页Acta Chinese Medicine

基　　金：国家十二五科技支撑计划重大疑难病课题(2013BAI02B07);河南省高校科技创新人才支持计划项目(2012HASTIT019)

摘　　要：丁樱教授认为,湿热伏邪是小儿过敏性紫癜重要的病因之一。湿热病邪潜伏机体,形成本病的"夙根"。同时湿热伏邪易与风热、瘀血等相兼夹,加之湿热困阻日久,损及气阴,最终导致本病的反复与缠绵。所以,为预防本病的反复,急性期应注意清热化湿、疏风凉血;缓解期应加强健脾祛湿,活血滋阴。中医药治疗过敏性紫癜能够有效缩短病程,减少复发,治疗时不应忽视湿热伏邪的存在,在清热凉血、活血化瘀的同时应注意祛除三焦湿热邪气。Professor Ding Ying thinks that damp-heat insidious pathogen is one of the important cause of Hench-Schnlein purpura（HSP）in children. Damp-heat insidious pathogen lurks in the body to form the source of HSP pathogenesis. At the same time,damp-heat insidious pathogen is easily accompanied by wind heat and blood stasis. In the other hand,Qi and Yin are damaged as dampness and heat stasis in the long term,eventually lead to HSP relapse and delayed healing. Therefore,in order to prevent HSP relapse,clearing away heat and dampness,expelling wind and cooling blood should be paid attention in acute stage. Strengthening the spleen and clearing away dampness,dissipating blood stasis and nourishing Yin should be enhanced in remission stage. The course of HSP can be effectively shortened and the HSP relapse can be reduced by traditional Chinese medicine treatment. Dampheat insidious pathogen should not be ignored,while cleaning away heat and cooling blood,and promoting blood circulation to remove blood stasis,the remove of Sanjiao damp heat pathogen should be taken note.

关 键 词：过敏性紫癜 湿热伏邪证 病因病机 丁樱 名医经验 

分 类 号：R249.27[医药卫生—中医临床基础]