从寒湿气滞论治银屑病  

Theoretical exploration and clinical application of treating psoriasis based on the theory of cold-damp and qi stagnation

作　　者：赵子慧 仪凡 王晓旭 张广中[3] ZHAO Zihui;YI Fan;WANG Xiaoxu;ZHANG Guangzhong(Beijing University of Chinese Medicine,Beijing 100029,China;Rheumatology Department of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China;Dermatology Department of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院风湿科,北京100010 [3]首都医科大学附属北京中医医院皮肤科,北京100010

出　　处：《吉林中医药》2024年第8期910-913,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金(82274523)。

摘　　要：银屑病,中医称“白疕”,是皮肤疾病中较为难治的一种,其病情反复,病势缠绵。中医药在其治疗方面有独特的优势。然而在临床治疗中发现,一些病程日久、情志不畅、感寒复发的患者,按既往清热凉血等治疗方法效果常不尽人意。在结合整体辨证和局部辨证后,引入寒湿气滞这一病因病机,治以温阳散寒、利湿健中法,往往攻克顽敌,取得满意疗效。附寒湿气滞病机论治银屑病思路及验案二则,以供参考交流。Psoriasis,also known as"white crust"in traditional Chinese medicine,is a kind of skin disease that is difficult to treat,with recurrent symptoms and lingering conditions.Though traditional Chinese medicine has a unique advantage in its treatment,it is found in clinic that some patients with a prolonged course,a poor emotional state and a higher recurrence when affected by cold,cannot always guarantee a satisfactory effect when treated with established methods such as clearing heat and cooling blood.On the basis of integrating the global syndrome differentiation and local syndrome differentiation,this study introduces the pathogeneses of cold-damp and qi stagnation to its syndrome differentiation,and treats it with the methods of warming yang to dispel cold,promoting diuresis to strengthen the spleen,which can usually achieve a satisfactory curative effect.This paper tries to analyze the ideas and two cases of the treatment of psoriasis based on differentiating the pathogeneses of cold-damp and qi stagnation,for reference and exchange.

关 键 词：寒湿 气滞 温阳散寒 利湿健中 银屑病 

分 类 号：R275[医药卫生—中医皮科]