从木郁达之论治带状疱疹  

Discussion on the Treatment of Herpes Zoster from Facilitating Liver Stagnation

作　　者：宋燕飞 SONG Yanfei(Department of Dermatology,Ganzhou Dermatology Hospital,Jiangxi Province,Ganzhou 341099,China)

机构地区：[1]赣州市皮肤病医院皮肤一科,江西赣州341099

出　　处：《中国中医药现代远程教育》2023年第23期73-76,共4页Chinese Medicine Modern Distance Education of China

摘　　要：中医学对带状疱疹具有独特见解,对其治疗具有明显优势。带状疱疹的中医病因病机较为复杂,相关理论颇丰。分析“木郁达之”理论的发展及内涵,总结出“木郁”即“肝郁”,其本质是气血运行受阻所致的一系列病理变化。“木郁”与带状疱疹具有相关性,即“木郁之病”与带状疱疹的发病脏腑均为肝脏,发病部位亦多为肝胆经循行之处,发病机制多与肝失疏泄、藏血有关。进而确立以“达之”论治带状疱疹,即清肝泻火以达之、疏肝健脾以达之、养阴疏肝以达之、升发少阳以达之,并总结了其代表方分别为龙胆泻肝汤、逍遥散、一贯煎、小柴胡汤。Traditional Chinese medicine has a unique view on herpes zoster and has obvious advantages for its treatment.The etiology and pathogenesis of herpes zoster in traditional Chinese medicine are relatively complex,and the related theories are quite abundant.This paper analyzed the development and connotation of“facilitating liver stagnation”theory,and concluded that“Muyu”is“liver stagnation”,whose essence is a series of pathological changes caused by the obstruction of qi and blood operation,and this pathological change is closely related to the liver.“Muyu”has a correlation with herpes zoster,that is,“Muyu’s disease”and herpes zoster’s viscera are the liver,the location of the disease is also most of the liver and gallbladder meridian,the pathogenesis of liver loss and dregs,blood.Thus,it is established that the treatment of herpes zoster should be based on“reaching”,namely,clearing the liver and reducing fire,nourishing the liver and strengthening the spleen,nourishing the yin and nourishing the liver,and promoting Shaoyang.The representative prescriptions are Longdan Xiegan decoction,Xiaoyao powder,Yiguanjian and Xiaochaihu decoction.

关 键 词：蛇串疮 带状疱疹 木郁达之 基础理论 龙胆泻肝汤 逍遥散 一贯煎 小柴胡汤 

分 类 号：R275[医药卫生—中医皮科]