解发良教授辨治顽固性银屑病经验  

Experience of Professor XIE Faliang in Treating Refractory Psoriasis

作　　者：邱四君 马珂 邓静 陈林 刘韵 蔡格 解发良[1] QIU Sijun;MA Ke;DENG Jing;CHEN Lin;LIU Yun;CAI Ge;XIE Faliang(Affiliated Hospital of Hunan Academy of Chinese Medicine,Changsha,Hunan 410006,China)

机构地区：[1]湖南省中医药研究院附属医院,湖南长沙410006

出　　处：《湖南中医药大学学报》2018年第4期427-429,共3页Journal of Hunan University of Chinese Medicine

基　　金：湖南省中医药管理局重点项目(2015105)

摘　　要：湖南省名中医解发良教授认为银屑病总的病机为邪毒袭表,郁而化热,久则耗伤阴血,生风生燥,肌肤失养所致,提倡分期辨治、从肺论治、内外合治,初期以清热凉血,解毒除湿为主,后期治以养血润燥,祛风止痒。解教授根据多年临床经验将银屑病分为风湿血热型、风湿热毒型、热毒血瘀型和血虚风燥型,分别采用清营汤、犀角地黄汤合丹参活血汤、除湿化斑汤、养血润肤汤或除癣1号方口服治疗,创制除癣外洗方外用,临床获满意疗效。Professor Xie Faliang,a famous TCM doctor in Hunan province,in his opinion,its pathogenesis of psoriasis is caused by pathogenic toxin attacking superficies,depression transformation into fire,injuried Yin and blood,causing wind and dryness pathogen,undernourished muscles and skin.Treatment based on different stages,lung,principle of combined internal and external treatment was advocated.In preliminary stage,the therapy should focus on clearing heat and cooling blood,detoxification and xeransis.In the late stage,the disease should be treated with nourishing blood and moistening dryness,dispelling wind and arresting itching.According to the clinical experience,the psoriasis could be divided into syndrome of wind-damp and blood heat,syndrome of wind-damp and hot toxin,syndrome of wind-damp and blood stasis,syndrome of boold deficiency and wind dryness.The syndromes were treated with Qingying decoction,Xijiao Dihuang decoction combined with Danshen Huoxue decoction,Chushi Huaban decoction,Yangxue Runfu decoction or No.1 prescription of removing psoriasis,external application prescription for removing psoriasis,which get satisfactory results in clinic.

关 键 词：银屑病 内外合治 除癣1号方 除癣外洗方 解发良 

分 类 号：R26[医药卫生—中医外科学] R758.3[医药卫生—中医学]