基于血脉辨证理论从气虚湿瘀论治淤积性皮炎  

Treatment of stasis dermatitis based on the blood and vessel theory of syndrome differentiation from the perspective of qi deficiency,dampness and stasis

作　　者：杨诗会 陈彬 闫英 YANG Shihui;CHEN Bin;YAN Ying(Beijing University of Chinese Medicine,Beijing 100029;Beijing Mentougou District Hospital of Traditional Chinese Medicine;Third Affiliated Hospital,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京市门头沟区中医医院 [3]北京中医药大学第三附属医院

出　　处：《现代中医临床》2023年第1期94-97,共4页Modern Chinese Clinical Medicine

基　　金：北京中医药大学基本科研业务费项目(No.2019-XS-ZB01)。

摘　　要：淤积性皮炎是临床常见的周围血管病,以下肢反复发作的红斑、丘疹、瘙痒等症状为主,易诊难治。血脉辨证理论是国家级名老中医陈淑长教授针对周围血管疾病临证诊疗特点所提出的辨证观点,强调人体血脉系统的整体性,以脉为核心,运行于脉外的卫气、脉内的营气为物质基础。淤积性皮炎的病因病机包括:脉气亏虚,推动失司;瘀停于脉,阻遏气机;湿停于脉,湿瘀互结。基本治法主要为:益气扶正以通脉,活血祛瘀以通脉,清热利湿以通脉。结合临床病案对基于血脉辨证理论从气虚湿瘀论治淤积性皮炎进行介绍。Stasis dermatitis is a common peripheral vascular disease, which is characterized by recurrent erythema, papules and itching in the lower extremities, and is easy to diagnose and difficult to treat. The blood and vessel theory is the evidence-based academic viewpoint proposed by Professor Chen Shuchang, laureate of the title of National Prestigious TCM Doctor, in response to the characteristics of clinical diagnosis and treatment of peripheral vascular diseases, emphasizing the holistic nature of the human blood vessel system, with the veins as the core and the wei qi running outside the veins and ying qi inside the veins as the material basis. The etiology and pathogenesis of stasis dermatitis are: deficiency of vessel qi result ing in the loss of propulsion function;stasis in the vessels, blocking the qi flow;dampness in the veins, binding with stasis. The basic treatment method is to boost and reinforce healthy qi to clear the veins, invigorate blood and eliminate stasis to unblock the veins, and clear heat and drain dampness to dredge the veins. The treatment of stasis dermatitis based on the theory of blood-vessel differentiation from the perspective of qi deficiency, damp and stasis is explained in this study with clinical cases.

关 键 词：淤积性皮炎 血脉辨证理论 气虚湿瘀 益气 活血 利湿 通脉 

分 类 号：R275.9[医药卫生—中西医结合]