从脾胃升降理论探讨湿疹的病机与治疗  

Exploring Pathogenesis and Treatment of Eczema from Theory of Ascending and Descending Functions of Spleen and Stomach

作　　者：孙铭梓 张丰川[2] 蔡玲玲[2] 张盛琪 SUN Mingzi;ZHANG Fengchuan;CAI Lingling;ZHANG Shengqi(The Second Clinical Medical College of Beijing University of Chinese Medicine,Beijing 100078,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]北京中医药大学东方医院,北京100078 [3]中国中医科学院西苑医院,北京100091

出　　处：《辽宁中医杂志》2024年第10期51-54,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：“十四五”重点专科北京中医药大学东方医院皮肤科并超类项目(BJZKBC0015)。

摘　　要：湿疹是由多种内外因素引起的炎症性皮肤疾病,以皮疹多形态,常对称分布,有渗出倾向,自觉瘙痒,易反复发作,易成慢性为主要特点。中医医家多认为湿疹病因总由禀赋不耐,风、湿、热邪阻滞肌肤所致,与脾密切相关,湿邪是其发病核心病因。脾升胃降为全身气机升降的枢纽。脾胃升降失常,痰湿内生,百病由生。该文从脾胃升降理论探讨湿疹的病机,着重探讨在湿疹发生发展过程中病机演变以及分期诊治原则。Eczema is an inflammatory skin disease caused by various internal and external factors.This disease is characterized by multiple forms of skin rashes,often symmetrically distributed,with a tendency to exudate,conscious itching,easy recurrence and chronic development.Traditional Chinese medicine practitioners often believe that eczema is always caused by innate impatience,with wind,dampness and heat blocking the skin,closely related to spleen,and dampness is the core cause of its onset.The ascending and descending functions of spleen and stomach serve as the hub for the overall Qi movement.Abnormal ascending and descending functions of pleen and stomach can lead to endogenous phlegm and dampness,and various diseases.This article explored the pathogenesis of eczema from the theory of ascending and descending functions of spleen and stomach,with a focus on the evolution of the pathogenesis and the principles of staging diagnosis and treatment during the occurrence and development of eczema.

关 键 词：脾胃升降 湿疹 病机 治疗 

分 类 号：R275[医药卫生—中医皮科]