庞鹤辨治下肢丹毒经验  

Professor PANG He’s Experience in Differentiation and Treatment of Erysipelas of Lower Limbs

作　　者：胡红娟 陈小均[1] 徐孟娇 袁文雯 金潇[1] 原方 张凡帆[1] 庞鹤(指导) HU Hongjuan;CHEN Xiaojun;XU Mengjiao;YUAN Wenwen;JIN Xiao;YUAN Fang;ZHANG Fanfan;PANG He(Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China;Beijing University of Chinese Medicine,Beijing 100105,China;不详)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学,北京100105 [3]不详

出　　处：《山东中医杂志》2024年第5期533-538,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：第七批全国老中医专家传承项目(编号:040103005002028);全国名老中医传承工作室建设项目(批文号:国中医药人教发[2014]20号);北京中医药大学基本科研业务费青年教师项目(编号:2019-JYB-JS-150);北京市科委首都市民健康培育项目(编号:Z151100003915132)。

摘　　要：庞鹤教授认为下肢丹毒根据病程可分为急性期和慢性期,急性期为火毒夹湿所致,多为实证,急性期未得及时治疗则转为慢性丹毒,可见脾虚有瘀,为本虚标实之证。治疗上当以祛邪为首要任务,灵活选择清热解毒、凉血解毒、滋阴清热之法;同时还要注意引邪外出,使邪气或向外散发,或从大小便而解。此外,在疾病治疗的全过程中均应根据湿与热的轻重程度合理选方,强调活血化瘀、注意顾护脾胃、积极防治变证。Professor PANG He believes that erysipelas of lower limbs can be divided into acute stage and chronic stage according to the course of disease.The acute stage is caused by fire poison mixed with dampness,which is mostly excess syndrome.If the acute stage is not treated in time,it will turn into chronic erysipelas,which is characterized by spleen-deficiency with stasis,and is the syndrome of deficiency in origin and excess in superficiality.In terms of the treatment,the primary goal is dispelling evils and flexibly choosing the method of clearing heat and detoxification,cooling blood and detoxification,nourishing yin and clearing heat.Meanwhile,attention is given to inducing the evils to go out,releasing pathogenic factor outwards or dissolving from urine or feces.In addition,in the whole process of disease,reasonable prescription should be selected according to the severity of humidity and heat,and emphasize promoting blood circulation and removing blood stasis,pay attention to the care of the spleen and stomach,and actively prevent the changes of syndrome.

关 键 词：下肢丹毒 火毒夹湿 清热解毒 凉血解毒 滋阴清热 活血化瘀 顾护脾胃 庞鹤 

分 类 号：R275.935[医药卫生—中西医结合]