辨证论治以减少血清病治疗中激素的应用  

Treatment Based on Syndrome Differentiation Reduces Application of Hormones in Treatment of Serum Sickness

作　　者：邱雪辉 万乐 吴卓航 王万春[2] QIU Xuehui;WAN Le;WU Zhuohang;WANG Wanchun(Jiangxi University of Chinese Medicine,Nanchang 330000,Jiangxi,China;Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330000,Jiangxi,China)

机构地区：[1]江西中医药大学,江西南昌330000 [2]江西中医药大学附属医院,江西南昌330000

出　　处：《辽宁中医杂志》2024年第11期34-36,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(8196150402)。

摘　　要：将中医“辨证论治”思维与现代医学对于糖皮质激素作用机制的认识相结合,提出通过辨证运用中药可替代激素调用肾阴、引水救火之功效,进而减少激素对血清病患者的不良反应,不伤其肾阴,最终达到安全有效治愈患者的目的。临证中将血清病主要辨证为风热犯表、热毒入营、邪犯肺卫以及风湿热痹4种证型。风热犯表者,主以疏风清热,解表止痒;热毒入营,则应清热凉血,解毒护阴;邪犯肺卫者,着重辛凉透表,清宣肺卫;风湿热痹,则需清热利湿,宣痹通络。Combining the thinking of“treatment based on syndrome differentiation”in traditional Chinese medicine and the understanding of the action mechanism of glucocorticoids in modern medicine,it is proposed that the use of traditional Chinese medicine treatment based on syndrome differentiation can replace the effects of hormones in activating kidney Yin and diverting water to extinguish fire,thereby reducing the side effects of hormones on serum sickness patients,not damaging their kidney Yin,and ultimately achieving the goal of safe and effective cure of patients.In clinical syndromes,serum sickness is mainly differentiated into four types.For those who suffer from wind-heat,the main treatment is to disperse wind,clear heat and relieve external itching.If heat toxins enter Ying phase,the treatment should clear heat and cool blood,detoxify and protect Yin.If the evils attack lung Wei phase,the treatment should be placed on cooling the exterior and dispersing lung Wei phase.For Bi syndrome due to wind-heat,it is necessary to clear heat,eliminate dampness and dredging collaterals.

关 键 词：抗蛇毒血清 血清病 辨证论治 糖皮质激素 

分 类 号：R25[医药卫生—中医内科学]