“清-透-养”法分期论治夜间发作的慢性荨麻疹  

The treatment of chronic urticaria at night by the method of “Qing-transparent-nourishing yin” by stages

作　　者：芦铭惠 张润田[1] 袁玲玲[1] 毕盛 李小婷 李壬婕 陈曦[3] LU Minghui;ZHANG Runtian;YUAN Lingling;BI Sheng;LI Xiaoting;LI Renjie;CHEN Xi(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;The Third Affiliated Hospital of Beijing University of Chinese Medicine;Tongzhou branch of Dongzhimen Hospital, Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学第三附属医院 [3]北京中医药大学东直门医院通州院区

出　　处：《现代中医临床》2024年第5期36-40,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学青年科学基金项目(No.81403404);北京中医药大学东直门医院“青苗人才培养计划”(No.DZMYS-201705)。

摘　　要：慢性荨麻疹是皮肤科常见的复发性过敏性疾病,其中部分患者呈现夜间发病或加重的症状规律,严重影响患者睡眠,降低生活质量。剖析总结其夜间发病的特征,笔者认为此规律的核心病机与风邪入里化热,伏于阴分,夜间受卫阳入里引动有关。本文基于清代吴塘所创立的“透热养阴”法,提出“清-透-养”法的分期论治思路:生地黄、知母、牡丹皮清解郁热,以青蒿、鳖甲透邪外达,以阿胶、乌梅、五味子滋阴养血,以玉屏风散实卫固表,为慢性荨麻疹夜间发作的中医辨治提供新参考。Chronic urticaria is a common recurrent allergic disease in dermatology,some patients with chronic urticaria show more symptoms that occur or worsen at night,which seriously affects patients' sleep and reduces their quality of life.By analyzing and summarizing the characteristics of nighttime onset,the author believes that the core pathogenesis of this rule is related to the wind pathogen entering to turn into heat,lying in the Yin,and being triggered by the Wei Yang at night.Based on the method of “distilling heat and nourishing Yin” established by Wu Tang in the Qing Dynasty,this paper proposes that staging treatment of “clearing-through-nourishing” method:raw Rehmannia radix,anemarrhizae anemarrhizae and peony peel should be used to clear away heat,artemisia annua and Bionychia sinensis should be used to clear away pathogens,ejiao,Wumei and Schisandrae fructus should be used to nourish Yin and nourish blood,and Yupingfeng powder should be used to dissipate Yin and nourish blood,so as to provide new ideas for the differentiation and treatment of chronic urticaria at night.

关 键 词：慢性荨麻疹 青蒿鳖甲汤 清-透-养法 分期 

分 类 号：R269[医药卫生—中西医结合]