从伏邪学说论治寒地小儿湿疹的思考  

Reflections on Treating Children Eczema from the Theory of Latent Evil

作　　者：秦雯 陈雁雁[2] 宋明达 李勇军 王有鹏[3] 王国杰[2] Qin Wen;Chen Yanyan;Song Mingda;Li Yongjun;Wang Youpeng;Wang Guojie(Heilongjiang University of Chinese Medicine,Heilongjiang,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [3]黑龙江中医药大学附属第二医院,黑龙江哈尔滨1500001

出　　处：《中国中医急症》2023年第8期1384-1387,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：黑龙江省中医药经典普及化专项课题(ZYW2022-099);四川省教育厅人文社会科学重点研究基地-四川医院管理和发展研究中心资助项目(SCYG2021-11)。

摘　　要：湿疹是一种常见的炎症性、变态反应性疾病,具有病情复杂、反复发作、瘙痒难耐、迁延难治的临床特点,此特点与伏邪致病特征相符合,与伏邪关系相密切。本文从伏风、伏湿、伏燥、伏瘀4种不同病性伏邪分析小儿湿疹的发病原因、发病机制。以搜风止痒、清利湿热、养血润燥、健脾化瘀为治法,以扶正固本、改善体质为核心,邪正兼顾,审证查因,从根本上减少该疾病的发生发展。附验案1则以佐证。Eczema is a common inflammatory and allergic disease,which has the clinical characteristics of complex disease,repeated attacks,itching,prolonged course of disease and difficult to treat.These are consistent with the pathogenic characteristics of latent evils,and is closely related to latent evils.This paper analyzes the pathogenesis and mechanism of children eczema from four different pathogenic factors:latent wind,latent damp⁃ness,latent dryness and latent stasis.The treatment principle is to search the wind to relieve itching,clear damp⁃ness-heat,nourish the blood and moisten dryness,strengthen the spleen and remove blood stasis,with the core of strengthening and consolidating body resistance,improving the physique,taking into account the evil and right,examining and verifying the cause,thus to fundamentally reduce the occurrence and development of the disease.A case is attached to support it.

关 键 词：伏邪 小儿湿疹 寒地 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]