肌肤甲错非独瘀血  

Scaly dry skin is not only about blood stasis

作　　者：赵赫群 谢连娣 ZHAO Hequn;XIE Liandi(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital Affiliated to Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院

出　　处：《现代中医临床》2023年第4期91-94,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金资助项目(No.81273692)。

摘　　要：“肌肤甲错”源于《金匮要略·血痹虚劳篇》中“内有干血,肌肤甲错”,通常被认为是体内有瘀血的一种外候。临床实践发现“肌肤甲错”并非只见于瘀血证患者,仅凭这一症状就轻易诊断,并在治疗时一味选用活血化瘀法显得过于片面。“肌肤甲错”亦可见于黄汗、肠痈、肺痈、溢饮,以及热结中焦之证等。其病机本质为气血失荣或津液失润。通过活血化瘀、益气除湿、消痈排脓、清泻热结、解表散饮等不同治法,最终使气血运行通畅、津液输布正常,则气血津液得以荣养肌肤,“肌肤甲错”自愈。The term“scaly dry skin”was first seen in Chapter for Blood Impediment and Consumptive Diseases in Jingui Yaolve(Essentials from the Golden Cabinet),which states that“blood depletion is the internal cause of scaly dry skin”.Therefore,the symptom has since been generally regarded as an external symptom of blood stasis inside the body.However,it has been discovered in clinical practices that scaly dry skin is not only found in patients with blood stasis syndrome,suggesting that it is inappropriate to provide a diagnosis based solely on this symptom alone and then choose the method of invigorating blood and removing blood stasis.Scaly dry skin can also be seen in yellow sweating,intestinal abscess,lung abscess,subcutaneous fluid retention,and the syndrome of heat accumulation in middle-jiao.Its pathogenesis is essentially lack of nourishment of qi and blood or insufficient body fluids unable to moisten and nourish the skin.Targeting at these patterns or diseases,various treatment methods should be adopted,such as invigorating blood and removing blood stasis,nourishing qi and eliminating dampness,removing abscess and evacuating pus,clearing away heat accumulation,and releasing the exterior and clearing retained fluid.The aim is to restore the free flow of qi and blood and normal distribution of body fluids,so that they can moisten and nourish the skin and remove the symptom of scaly dry skin as a result.

关 键 词：肌肤甲错 瘀血 中医典籍 气血津液 

分 类 号：R275.02[医药卫生—中医皮科]