杨文信教授从痰瘀夹湿论治木村病经验  

Experience in treating Kimura s disease from phlegm stasis with dampness

作　　者：谯霞 杨文信 杨春艳 李艳 QIAO Xia;YANG Wenxin;YANG Chunyan(Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University,Luzhou Sichuan 646000,China)

机构地区：[1]西南医科大学附属中医医院,四川泸州646000

出　　处：《四川中医》2024年第9期7-10,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：杨文信全国名老中医药专家传承工作室项目(国中医药办人教函[2022]75号);四川省十大名中医工作室项目(川中医药函[2024]56号)。

摘　　要：木村病是一种临床少见、病因不明的慢性炎症性疾病,主要表现为无痛性皮下结节,常发生于头颈部,发病机制尚不清楚,现治疗缺乏统一共识。杨文信教授认为木村病病机总属痰瘀夹湿,提出“治皮当先实脾”,全程贯以健脾运脾之法,以化痰散结、祛瘀利湿为基本治则,拟运脾散积汤加减,化痰散结、祛瘀利湿,兼补后天,攻补共法,最终取得显著疗效。Kimura's disease is a rare clinical condition characterized by chronic inflammation of unknown origin.It primarily presents as painless subcutaneous nodules,predominantly affecting the head and neck regions.The exact mechanism underlying its development remains elusive,and there is currently no consensus regarding its treatment.Professor Yang Wenxin proposes that the pathogenesis of Kimura's disease involves a combination of phlegm,blood stasis,and dampness,advocating for a“spleen-focused approach to skin treatment”.This therapeutic strategy involves strengthening and regulating the spleen throughout the entire treatment process,with the fundamental principles of resolving phlegm,dispersing nodules,eliminating blood stasis,and promoting diuresis.A modified version of Yunpi Sanji Decoction is utilized,incorporating measures to dissolve phlegm,disperse nodules,eliminate blood stasis,remove dampness,and supplement deficiencies,thereby employing a combined approach of tonification and elimination.Ultimately,significant therapeutic efficacy has been achieved.

关 键 词：木村病 名医经验 痰瘀夹湿 运脾散积汤 杨文信 

分 类 号：R249[医药卫生—中医临床基础]