吕文良教授从“风毒内伏”论治河鲀毒素中毒后继发过敏性唇炎1例  

A case of allergic cheilitis caused by tetrodotoxin poisoning treated by Professor LüWenliang from the perspective of“internal retention of wind-toxicity”

作　　者：姚子昂 强睿 张丽丽 吕文良[2] YAO Ziang;QIANG Rui;ZHANG Lili;LYU Wenliang(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Infectious Diseases,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院广安门医院感染疾病科,北京100053

出　　处：《中国医药导报》2022年第32期184-188,共5页China Medical Herald

基　　金：国家自然科学基金面上项目(81774282);国家重点研发计划“中医药现代化研究”项目(2018YFC1705700);国家科技重大专项课题“艾滋病和病毒性肝炎等重大传染病防治”专项(2018ZX10303502-003)。

摘　　要：河鲀鱼中毒是一类较为少见的食物中毒,当前针对河鲀鱼中毒尚无特效解毒剂,当尽早予催吐、洗胃、利尿等方式促进毒素的排出并对症治疗。本例报道的是较罕见的既往无食物过敏病史者由于河鲀鱼中毒后出现反复过敏性唇炎的案例。吕文良教授临床结合其病史和发病机制,提出河鲀鱼毒素的中医辨证特点当属“风毒为主,兼火挟湿”,并以“余毒未清、风毒内伏”为病机,以“柔肝祛风”为核心治法,兼顾“清热解毒、健脾化湿”,运用中医药治疗河鲀鱼中毒后继发过敏性唇炎。该病案较为罕见且疗效显著,特此报道以飨同行,旨在对河鲀鱼中毒后继发过敏性唇炎的中医治疗有所补充与启迪。Puffer fish poisoning is a relatively rare type of food poisoning.At present,there is no specific antidote for puffer fish poisoning.It is necessary to induce vomiting,gastric lavage,and diuresis as soon as possible to promote the discharge of toxins and symptomatic treatment.This case reports a rare case of recurrent allergic cheilitis due to puffer fish poisoning in a patient without a previous history of food allergy.Professor LüWenliang clinically combined with his medical history and pathogenesis,and proposed that the traditional Chinese medicine syndrome differentiation characteristics of tetrodotoxin should be“wind-toxin mainly,and with fire carries dampness”,with“the residual toxin is not clear,the wind toxin is embedded”as the pathogenesis,with“softening liver and dispelling pathogenic wind”as the core treatment method,taking into account“clearing heat and removing toxicity,invigorating spleen for eliminating dampness”,and using traditional Chinese medicine to treat allergic cheilitis secondary to tetrodotoxin poisoning.This case is relatively rare and has remarkable curative effect.It is hereby reported for the benefit of colleagues,aiming to supplement and enlighten the traditional Chinese medicine treatment of allergic cheilitis secondary to puffer fish poisoning.

关 键 词：河鲀鱼中毒 过敏性唇炎 风毒内伏 柔肝祛风 清热解毒 

分 类 号：R155[医药卫生—营养与食品卫生学]