马继伟运用麻黄连翘赤小豆汤治疗尿毒症皮肤瘙痒临床心得  

Clinical Experience of Ma Jiwei in the Treatment of Uremic Pruritus with the Application of Mahuang Lianqiao Chixiaodou Decoction

作　　者：董磊鹏 卢小蓓 马继伟[2] DONG Leipeng;LU Xiaobei;MA Jiwei(Grade 2015 Graduate, Henan University of Traditional Chinese Medicine, Henan Province, Zhengzhou 450008, China;Nephrology Department, the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Henan Province,Zhengzhou450008, China)

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

出　　处：《中国中医药现代远程教育》2018年第10期63-65,共3页Chinese Medicine Modern Distance Education of China

基　　金：国家自然科学基金面上项目【No.81273950】

摘　　要：尿毒症皮肤瘙痒患者病机以"风"为主,有外感热毒风邪之外风,又有血虚、血燥、血热之内风,治疗当以祛风止痒为主;尿毒症患者免疫低下,易感湿热风邪,治疗当祛风止痒,清热利湿解毒,遣方选用麻黄连翘赤小豆汤加减。The pathogenesis of uremic pruritus is mainly ＂ wind＂, including exogenous wind-evil induced by exogenous toxin, and endogenous wind-evil caused by the deficiency or dryness or heat of blood, and the treatment should be based on dispelling wind and relieving itching. Uremic patients are susceptible to damp heat and wind evil for the hypoimmunity. They should be treated with dispelling wind and relieving itching, clearing away heat, promoting dampness and detoxification, and prescribe based on ephedra forsythia and chek bean soup.

关 键 词：尿毒症 皮肤瘙痒 湿热风邪 麻黄连翘赤小豆汤 

分 类 号：R275.9[医药卫生—中西医结合] R277.5[医药卫生—中医皮科]