眭道顺治疗手足癣经验  

Experience of SUI Dao-Shun in Treating Tinea of Feet and Hands

作　　者：陈楚敏 曹艳红 谢佳芯 眭道顺(指导)[2] CHEN Chu-Min;CAO Yan-Hong;XIE Jia-Xin;SUI Dao-Shun(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第4期822-825,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广州中医药大学第一附属医院院内专科制剂研制项目(编号:2017ZJ04)。

摘　　要：总结了眭道顺教授治疗手足癣的经验。眭道顺教授认为手足癣主要因风湿热毒之邪侵袭肌肤腠理,致气血不和,久则化燥伤血,肌肤失养而致本病。治疗以外治法为主,内外兼施,防护兼顾。眭道顺教授治疗手足癣的自拟治癣外洗方的药物组成为藿香、黄精、苦参、百部、白矾、芒硝、虎杖、艾叶、蛇床子、金银花、三叉苦等。辨证治疗手足癣时主要分为湿热毒聚和血虚风燥两种证型,分别采用龙胆泻肝汤和四物消风散加减。根据病情需要,还综合运用刺络放血、自血疗法、艾灸疗法等多种中医特色疗法。日常生活中嘱患者注意防护,保持手足部干爽清洁,避免接触潮湿的环境等。其所用治癣外洗方临床适用范围广,配合辨证中药内服及多种中医特色疗法,临床可取得良好疗效。The experience of Professor SUI Dao-Shun in treating tinea of feet and hands was summarized.Professor SUI Dao-Shun believes that tinea of feet and hands is mainly caused by the attack of wind-damp and heat toxicity to muscular striae,which causes the imbalance of qi and blood.The lasting illness results into the dryness and injures the blood,and causes muscular malnutrition.For the treatment of tinea of feet and hands,external therapy is the principal method,the oral use of medicine can be also used,and the daily protection and regulation should also be taken into account.The self-prescribed external washing recipe for tinea of feet and hands established by Professor SUI Dao-Shun was composed of Herba Pogostemonis,Rhizoma Polygonati,Radix Sophorae Flavescentis,Radix Stemonae,Alumen,Natrii Sulfas,Rhizoma Polygoni Cuspidati,Folium Artemisiae Argyi,Fructus Cnidii,Flos Lonicerae,and Folium et Ramulus Evodiae Leptae.The tinea of feet and hands can be mainly differentiated as the syndrome of accumulation of damp-heat and toxicity,and the syndrome of deficiency blood and wind dryness,which can be treated by the modification of Longdan Xiegan Decoction and Siwu Xiaofeng Powder separately.According to the illness state,the specific therapy of traditional Chinese medicine such as blood-letting by puncturing the collaterals,autohemotherapy,and moxibustion therapy can also be used.During the daily life,it is necessary to keep the feet and hands dry and clean,and to avoid the exposure to the moist environment.The recipe for washing in treating tinea of feet and hands prescribed by Professor SUI Dao-Shun has been widely used in the clinic,and can achieve satisfactory effect by the simultaneous utilization of oral use of medicine and the specific therapy of traditional Chinese medicine.

关 键 词：手足癣 自拟治癣外洗方 龙胆泻肝汤 四物消风散 中医特色疗法 眭道顺 

分 类 号：R275.1[医药卫生—中医皮科]