慢性湿疹的脏腑辨证及传变规律  

Syndrome differentiation of zang-fu viscera and variable regularity of chronic eczema

作　　者：彭琳 穆玉雪 任北大 刘金玉 李晓亚[1] 葛莎莎 赵欣[1] 孙丽萍 唐炳华 刘连起 蔡大勇[1] PENG Lin;MU Yu-xue;REN Bei-da;LIU Jin-yu;LI Xiao-ya;GE Sha-sha;ZHAO Xin;SUN Li-ping;TANG Bing-hua;LIU Lian-qi;CAI Da-yong(Institute of Medicinal Plant Development,Chinese Academy of Medical Sciences ＆ Peking Union Medical College,Beijing 100193,China;School of Bioscience,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国医学科学院药用植物研究所,北京100193 [2]北京中医药大学生命科学学院,北京100029

出　　处：《中华中医药杂志》2018年第8期3571-3573,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:文献分析慢性湿疹临床证候的脏腑传变。方法:检索中国知网数据库,纳入1990年至2015年(25年)慢性湿疹文献;依据脏腑辨证,确定患病人群的病机定位;遵循五行生克,确定湿疹病程脏腑定位的传变规律。结果:1 311例湿疹患者的脏腑定位为肝(35.69%),脾(25.25%),心(22.12%),肾(13.80%),肺(3.13%)。结合患者体质特征,提示湿疹发病为"先天肾虚与后天脾虚"双驱动;即湿疹立法"温肾阳治本,渗脾湿治标",肝阴虚为桥联本标的常见表象,以佐药治之。结论:遵循脏腑传变,慢性湿疹病机源于肾虚,症见脾湿,联在肝阴虚;传变动力是立法遣药的客观依据。Objective： To analyze relevant literatures on the zang-fu viscera variable regularity of clinical syndromes of chronic eczema. Methods： The China knowledge network database （CNKI） was searched, and the literatures on chronic eczema from 1990 to 2015 were included. The pathogenesis localizations of patients were determined, based on the syndrome differentiation of zang-fu viscera. The variable regularity of zang-fu viscera localizations of chronic eczema progress were determined, based on the theory of mutual generation and restriction of five phases. Results： The 1 311 cases of chronic eczema were included. The percentages of zang-fu viscera locations were distributed as follows： liver （35.69%）, spleen （25.25%）, heart （22.12%）, kidney （13.80%）, and lung （3.13%）. Combining with the patients＇ allergic constitution, it was suggested that the pathogenesis of chronic eczema was both congenital kidney deficiency and acquired spleen deficiency. Namely, the therapeutic rule of chronic eczema was ＇wanning kidney-yang for treating essence, eliminating spleen dampness for treating symptoms＇. Liver-yin deficiency was common manifestation of bridging essence and symptoms, and it was treated with assistant drugs. Conclusion： Following the variable regularity of zang-fu viscera, the pathogenesis of chronic eczema is kidney deficiency, spleen dampness＇ can be seen in its symptoms, and its bridge is liver-yin deficiency. Its variable power is its objective evidences of determining the therapeutic rules and medication.

关 键 词：慢性湿疹 脏腑辨证 证候传变 

分 类 号：R275.9[医药卫生—中西医结合]