从少阳论治菊池病  

Treatment of Kikuchi-Fujimoto Disease from Perspective of Shaoyang

作　　者：肖温琴 王冰[2] 向婷婷 曹胜 苗青[2] XIAO Wenqin;WANG Bing;XIANG Tingting;CAO Sheng;MIAO Qing(Beijing University of Chinese Medicine,Beijing China 100029;Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences,Beijing China 100091)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院西苑医院,北京100091

出　　处：《中医学报》2024年第3期484-487,共4页Acta Chinese Medicine

基　　金：国家自然科学基金项目(82074422)。

摘　　要：菊池病属中医“痰核”“瘰疬”范畴,临证时应从少阳论治该病。少阳外邻太阳,内近阳明,里络三焦,位于表里之间,维持着气血津液和气机升降功能的正常运行。若少阳枢机不利致津液不布,痰饮内生、阻滞经络,遂形成痰核、瘰疬等表现。临床根据菊池病的症状表现,以和解少阳为法,调畅枢机,临床主方为小柴胡汤,可佐金银花、连翘等清热药,夏枯草、牡蛎等散结药,青蒿、鳖甲等清肝热、养肝阴药。Kikuchi-Fujimoto disease belongs to the categories of"Phlegm nucleus"and"scrofula"in traditional Chinese medicine,and it should be treated from perspective of Shaoyang in clinical practice.Shaoyang is adjacent to Taiyang on the outside and close to Yangming on the inside.It is connected with Three Jiao inside of body,being located between the exterior and interior,and maintains the normal operation of Qi,blood,body Fluid as well as the Qi movement.If the Shaoyang cardinal mechanism is abnormal,it may cause the poor body Fluid distribution,Phlegm being generated internally and blocking the meridians,and thus form symptoms such as Phlegm nucleus and scrofula.Based on the symptoms of Kikuchi-Fujimoto disease in clinical practice,the commonly used formula is Xiaochaihu Decoction,to reconcile Shaoyang and regulate the central cardinal system.It can be supplemented with heat clearing drugs such as Jinyinhua(honeysuckle)and Lianqiao(forsythia),as well as dispersing and consolidating drugs such as Xiakucao(prunella spike)and Muli(oyster),and Liver Heat clearing drugs and nourishing Liver Yin drugs such as Qinghao(artemisia annua)and Biejia(turtle shell).

关 键 词：菊池病 少阳 小柴胡汤 

分 类 号：R263[医药卫生—中医外科学]