从“心肾不交”角度微探老年性瘙痒症发病机制  

Pathogenesis of Senile Pruritus in Terms of‘Heart-Kidney Incompatibility’

作　　者：陈慧玲 黄宁 CHEN Huiling;HUANG Ning(Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;The Second People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Key Laboratory of Fujian Province Universities for Dermatology of Integrated Traditional Chinese and Western Medicine, Fuzhou 350001, China)

机构地区：[1]福建中医药大学,福建福州350122 [2]福建中医药大学附属第二人民医院中西医结合皮肤病福建省高校重点实验室,福建福州350001

出　　处：《中医药学报》2022年第7期10-13,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家重点研发计划“中医药现代化研究”重点专项(2018YFC1705300);福建省科技计划项目(引导性项目)(2020Y0044)。

摘　　要：瘙痒症是老年人群最常见的皮肤病,发病机制复杂,目前尚未明彻,临床以局部外用糖皮质激素、口服抗组胺药物等为一线治疗,对症处理,复发率高。中医中药在整体观念指导下,针对不同个体进行辨证论治,治疗本病优势明显,疗效甚佳,但缺乏足够的科学依据。本文基于“心肾不交”理论,对老年性瘙痒症的中医病因病机及现代医学发病机制进行深入探讨,望给予该病临床诊疗和科学研究新的启发。Pruritus is the most common skin disease in the elderly.The pathogenesis is complicated and it is not yet clear.Local external application of glucocorticoids and oral antihistamines are the first-line medications in terms of clinical treatment,it mainly focus on symptomatic treatment,but with high recurrence rate.Under the guidance of a holistic concept,TCM has obvious advantages and good curative effects in the treatment of the disease according to syndrome differentiation,but it lacks sufficient scientific basis.Based on the theory of‘Heart-Kidney incompatibility’,this study made an in-depth discussion on the etiology and pathogenesis of senile pruritus in Chinese medicine and the pathogenesis in modern medicine,hoping to give a new inspiration to the clinical diagnosis and treatment of the disease and scientific research.

关 键 词：老年性瘙痒症 心肾不交 发病机制 交通心肾 

分 类 号：R275.83[医药卫生—中医皮科]