国医大师王琦从过敏体质论治斑秃经验  

Experience of National Medical Master Professor Wang Qi Treatment of Alopecia Areata from the Perspective of Allergic Constitution

作　　者：朱丽冰 王济[2] 王琦[2] ZHU Libing1 , WANG Ji2, WANG Qi2(1. Xiamen University,Xiamen Fujian China 361005 ; 2. Research Center for Physical and Reproductive Medicine, Beijing University of Chinese Medicine, Beijing China 10002)

机构地区：[1]厦门大学,福建厦门361005 [2]北京中医药大学中医体质与生殖医学研究中心,北京100029

出　　处：《中医学报》2018年第2期240-243,共4页Acta Chinese Medicine

基　　金：国家自然科学基金面上项目(81273611;81473554);北京市自然科学基金面上项目(7132125)

摘　　要：王琦教授基于"体病相关论"阐释了斑秃与过敏体质之间的密切相关性,以"辨体-辨病-辨证"的三辨诊疗模式为临床理论指导,不仅关注患者之病兼以调患者之体。在诊疗过程中,王琦教授先辨识患者的过敏体质,再根据斑秃的病症以及不同病程中证型的变化而灵活加减用药,调理过敏体质专用药为乌梅、蝉蜕、野生赤芝、制何首乌,四药相配,驱散风热之邪又能养阴生津,收中有散,每获良效。王教授将治病与调体相结合,既改善了患者的过敏性体质,防止斑秃复发,又针对斑秃的病情对症下药从而改善症状,为斑秃的诊治提供了行之有效的理论指导及治疗方案。Based on ＂body constitution and disease relevance theory＂,Professor Wang Qi expounds the close relevance between alopecia areata（AA） and allergic constitution;guided by clinical theory of the treatment mode ＂constitution differentiation,disease differentiation and dialectics＂,Professor Wang Qi not only focuses on patients＇ disease but also conditions patients＇ body constitution.In the diagnosis and treatment process,Professor Wang Qi first identifies the patients＇ allergic constitution,then adds or reduces the medicine according to the syndrome of disease and the changes of syndrome pattern in different disease courses.The designated medicines for conditioning allergic constitution are smoked plum,periostracum cicada,wild ganoderma lucidum,radix polygoni multiflori praeparata.The compatibility of the four medicines not only improves patients＇ allergic constitution,prevents the reoccurrence of AA,but also disperses wind-heat,nourishes Yin and promotes body fluid.It astringes and meanwhile disperses,producing an excellent effect every time.Professor Wang combines disease treatment and constitution conditioning,which not only improves the patients＇ allergic constitution,prevents the re-occurrence of AA,but also provides a remedy special for the disease according to disease conditions,so as to improve the symptoms.It＇s a feasible and efficacious theory guidance and treatment proposal for the treatment of AA.

关 键 词：斑秃 过敏体质 王琦 名医经验 

分 类 号：R249.27[医药卫生—中医临床基础]