诸疹痒喘 嚏涕窍塞 皆属于敏——仝小林教授对过敏性疾病的经验及病机探讨  

“Any syndromes including rash, itch, asthma, sneeze, running nose or congestion indicating allergic diseases”——Discussion about clinical experience and pathogenesis of allergic diseases by Professor TONG Xiaoli

作　　者：杨映映 王青 李青伟[1,2] 姬航宇[1] 高泽正 赵锡艳[1] 逄冰[1] YANG Yingying;WANG Qing;LI Qingwei;JI Hangyu;GAO Zezheng;ZHAO Xiyan;PANG Bing(Guang＇anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;Beijing University of Chinese Medicine, Beijing 100029, China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029

出　　处：《吉林中医药》2018年第6期633-637,共5页Jilin Journal of Chinese Medicine

基　　金：国家"十二五"科技支撑计划课题(2013BAI02B10)

摘　　要：现代医学对过敏性疾病的病因及发病机制尚未完全明确,且相关治疗药物副作用大、疗效不能持久。而现代研究表明,中药在抗过敏方面具有多层次、多靶点的特点,且毒副反应较少。仝小林教授结合现代研究的结果及多年临床经验,以"诸疹痒喘,嚏涕窍塞,皆属于敏"这句话概括过敏现象,为中医临床辨治过敏性疾病点明要点。同时指出过敏性疾病的发生是机体在肺、脾、肾等脏腑功能低下、抵抗力不足的基础上,外邪内侵,伏留于黏膜之表,日久成为"伏邪"。后值外邪引动,伏邪内发,而为过敏。治疗时以"和法"为主,运用桂枝汤、麻黄附子细辛汤等经方调和营卫、气血、阴阳,使得正气得充,邪气外透。The causes and pathogenesis of allergic diseases in modem medicine aren＇t yet completely clear, and its drugs usually have large side effects but short curative effect. Modem researches found that Chinese herb was good at treating allergic diseases in multiple aspects and targets without that much side effects. In order to add convenience and usability to traditional Chinese medicine when treating allergic diseases, Professor TONG summarized a TCM theory based on his long-term clinical experience and modem study results, which said ＂Any syndromes including rash, itch, asthma, sneeze, running nose or congestion indicating allergic diseases.＂ And it was believed that allergic diseases occurred when active pathogen （Usually from outside part） induced the explosion of inactive pathogen, which came from active pathogen who hide beneath body skin for a long time. Reconciling method is main principle in TCM treatment, and use classical prescription like Guizhi decoction and Mahuang Fuzi Xixin decoction to reconcile the patient＇s yin-yang, qi-blood so as to expel the inactive/active pathogen from body and promote healing of disease.

关 键 词：过敏性疾病 伏邪 经方 仝小林 

分 类 号：R593[医药卫生—内科学]