运用消法治疗急性痘疮样苔藓样糠疹1例  

One case of Pityriasis lichenoides et varioliformis acuta treated with Xiao therapy

作　　者：陈嘉璐 张池金[1] CHEN Jialu;ZHANG Chijin(Department of Dermatology,the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心皮肤科,天津300381

出　　处：《中国医药科学》2024年第20期195-198,共4页China Medicine And Pharmacy

摘　　要：急性痘疮样苔藓样糠疹是一种起病急,皮疹为鳞屑性红斑、丘疹、丘疱疹、水疱、坏死和结痂等多形性损害,愈后可留下痘疮样瘢痕为特征的自限性疾病。临床少见,病因尚未明确,目前无特效的治疗方法,且临床常用药物存在一定副作用。张池金教授基于中医思维,认为热毒蕴结为本病的重要发病机制,治疗时运用消法以清热解毒,凉血活血,发挥传统医学优势,疗效颇佳,为治疗与研究急性痘疮样苔藓样糠疹提供了新的思路与方法,并附验案1则,以资佐证。Pityriasis lichenoides et varioliformis acuta is a self-limiting disease characterized by acute onset,multiple lesions such as scaly erythema,papules,papules,blisters,necrosis,and scabs.After healing,it may leave acne like scars.Clinically rare,the etiology is not yet clear,there is currently no specific treatment method,and commonly used drugs in clinical practice have certain side effects.Professor Zhang Chijin,based on traditional Chinese medicine thinking,believes that the accumulation of heat and toxin is an important pathogenesis of this disease.When treating it,he uses methods to clear heat and detoxify,cool blood and promote blood circulation,and leverages the advantages of traditional medicine.The therapeutic effect is quite good,providing new ideas and methods for the treatment and research of acute acne like lichen like pityriasis.One case study is attached as evidence.

关 键 词：急性痘疮样苔藓样糠疹 白疕 消法 中医思维 临床经验 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]