基于“心部于表”论治皮肤病的思路探讨  

Discussion on the treatment thoughts of dermatosis based on the theory of“heart governing exterior”

作　　者：郑园园 李冠汝 孙丽蕴[3] ZHENG Yuanyuan;LI Guanru;SUN Liyun(Graduate School,Beijing University of Chinese Medicine,Beijing100029,China;Department of Dermatology,Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing101300,China;Department of Dermatology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing100010,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]北京中医医院顺义医院皮肤科,北京101300 [3]首都医科大学附属北京中医医院皮肤科,北京100010

出　　处：《中国医药导报》2020年第31期138-141,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81774309);北京市优秀人才培养资助项目(2018000092582G364);北京市顺义区卫生健康发展科研专项(Wsjkfzkyzx-2019-y-01);北京中医医院顺义医院院级课题(SYYJ-201806)。

摘　　要：“心部于表”是指心统领体表各组织及其所属脏腑以维持皮表的生理功能,就气机运动趋势而言,心与体表密切相关。但目前中医诊治皮肤病较少运用“心部于表”理论,因此本文试基于该理论探讨治疗皮肤病的临床思路。心统领体表的功能主要建立在心为火脏性炎散、心藏神及心主血脉的基础之上,故皮肤病应着重从心论治:以调摄心神为先、以调和心火为要、以畅盈血脉为纲及以宣郁透达为伍;此外需联系其他脏腑气机运行的情况,结合患者具体病症灵活用药,达到统筹兼顾、整体调治的目的。The definition of“heart governing exterior”means heart which governs all the skin tissues and accessory organs to maintain the physical functions,the heart is closely related to the exterior in terms of the movement trend of the air engine.Because currently it is rarely applied the theory of“heart governing exterior”to the treatment of dermatosis,this article will be focused on the treatment thoughts derived from this theory in treatment of dermatosis.The domination mechanism is based on the principle that heart belongs to yang,stores spirit and governs the blood.Therefore,dermatosis should be treated primarily from the heart with regulating the mind firstly,adjusting heart yang necessarily,clearing the blood vessels systematically and expelling pathogenic factors felicitously.Moreover,it is necessary for overall consideration and the whole treatment to prescribe herbs flexibly after considering qi activity of the other viscera and specific circumstances.

关 键 词：心部于表 皮肤病 从心论治 脏腑气机 治疗思路 

分 类 号：R275[医药卫生—中医皮科]