禤国维从脾论治非特异性外阴炎经验  

Clinical Experience of XUAN Guowei in Treating Non-Specific Vulvitis from Spleen

作　　者：陈彤 张思君 段可欣 李红毅[3] 廖列辉[3] 禤国维(指导)[3] CHEN Tong;ZHANG Sijun;DUAN Kexin;LI Hongyi;LIAO Liehui(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou,510403;Heyuan Woman and Children Hospital;Guangdong Province Traditional Chinese Medical Hospital)

机构地区：[1]广州中医药大学第二临床医学院,广东省广州市510403 [2]广东省河源市妇幼保健院 [3]广东省中医院

出　　处：《中医杂志》2024年第6期561-565,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国医大师传承工作室建设项目。

摘　　要：总结禤国维教授从脾论治非特异性外阴炎的临证经验。认为非特异性外阴炎的核心病机为脾虚湿蕴,其中急性期病机以脾虚为本、湿热毒邪结于外阴为关键,慢性期病机以脾虚湿蕴为主,兼有肾虚。临证主张以健脾除湿为基本治法,自拟健脾渗湿方为基本方,急性期辅以清热解毒之品,慢性期辅以健脾固肾、益气养阴之品;同时重视内外合治、中西医结合和患者日常预防调护,并创制中药外用制剂消炎止痒霜。This paper summarized the clinical experience of professor XUAN Guowei in treating non-specific vulvitis from spleen.He believes that the core pathological mechanism of this condition lies in spleen deficiency and damp⁃ness accumulation;in the acute phase,spleen deficiency is taken as the root cause and damp-heat toxins accumulated in the vulva as the key;in the chronic phase,spleen deficiency and dampness accumulation is the main pathogenesis,accompanied by kidney deficiency.In clinical practice,the basic method of fortifying spleen and eliminating damp⁃ness is used,and self-made Jianpi Shenshi Formula(健脾渗湿方)is recommended as the basic prescription.During the acute phase,the medicinals of clearing heat and resolving toxins are supplemented,while during the chronic phase,medicinals aims at fortifying the spleen and consolidating the kidneys,boosting qi and nourishing yin are added.Simultaneously,there is an emphasis on integrated treatment combining internal and external treatment,and both Chinese and western medicine,and he highlights the importance of daily prevention and care for patients.Additionally,external used Xiaoyan Zhiyang Cream(消炎止痒霜)is created.

关 键 词：非特异性外阴炎 脾虚湿蕴 健脾除湿 名医经验 禤国维 

分 类 号：R249[医药卫生—中医临床基础] R271.9[医药卫生—中医学]