再谈燕京赵氏皮科流派赵炳南教授“从血论治”红皮病型银屑病  

Professor Zhao Bingnan’s"Treatment of Erythorodermic Psoriasis by Solving Disorders of Blood System"in Yanjing Zhao’s Dermatological School

作　　者：普思琪 孙丽蕴[2] PU Siqi;SUN Liyun(Beijing University of Chinese Medicine,Beijing 100029,China;Dermatology Department,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《云南中医药大学学报》2023年第3期47-51,共5页Journal of Yunnan University of Chinese Medicine

基　　金：国家自然科学基金项目(81774309);第五批全国中医临床优秀人才研修项目国中医药人教函[2022]1号;燕京赵氏皮科流派传承工作室(LPGZ2012-03);北京市医院管理中心“登峰”人才培养计划(DF20220801)。

摘　　要：红皮病型银屑病为皮肤科疑难重症,皮损泛发全身,累及表皮较大面积,燕京赵氏皮科流派创始人赵炳南教授认为本病病位在血,血分热邪、血分毒邪、血分阴虚为3大关键因素。本病主因血分蕴热化火,进而内生或外受毒邪引动血分火邪,火毒炽盛,郁于营血,外发肌肤而来,后期迁延则以血分阴伤为主,正虚邪恋;治疗上赵炳南教授从血分出发,总以“清热、解毒、养阴”为纲,随病情发展,分期治以清热凉血,泻火解毒、清营护心,养阴益气、清解余邪。Erythrodermic psoriasis is difficult and severe in dermatology,with skin lesions spreading throughout the body and involving a large area of the epidermis.Professor Zhao Bingnan,the founder of Yanjing Zhao’s dermatological school,believes that the disease is located in the blood,and the blood is divided into heat,toxin and Yin deficiency as the three key factors.This disease is mainly due to the blood accumulation of heat and fire,and then endogenously or externally triggered by toxic pathogens,the blood is divided into fire evil,the fire and poison are intense,which moves inward into the battalion and outward on the skin.In the later stage,the blood is mainly divided into Yin injury,and the positive Qi deficiency and evil is in custody.Professor Zhao Bingnan,starting from the blood division,always takes"clearing heat,detoxifying and nourishing Yin"as the main principle.With the development of the disease,he treats the disease in stages by clearing heat and cooling blood,reducing fire and detoxifying,clearing Ying and protecting the heart,nourishing Yin and Qi,and clearing away residual pathogens.

关 键 词：赵炳南 红皮病型银屑病 从血论治 燕京赵氏皮科流派 名医经验 

分 类 号：R275.9[医药卫生—中西医结合] R249[医药卫生—中医皮科]