陈达灿教授辨治内分泌代谢相关皮肤病思路探析  

Professor Chen Dacan'Experience in Treating Dermatoses Related to Endocrine and Metabolism

作　　者：王艳沛 平瑞月 莫秀梅 林颖 刘俊峰 陈达灿 Wang Yanpei;Ping Ruiyue;Mo Xiumei;Lin Ying;Liu Junfeng;Chen Dacan(Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Dermatology,The Second Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州中医药大学第二附属医院皮肤科,广东广州510120

出　　处：《亚太传统医药》2024年第8期126-129,共4页Asia-Pacific Traditional Medicine

基　　金：省部共建中医湿证国家重点实验室项目(粤财科教[2020]126号);陈达灿全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);广东省中医药防治难治性慢病重点实验室项目(中医二院[2019]78号);广东省重点领域研发计划(粤财科教[2020]52号)。

摘　　要：总结陈达灿教授辨治内分泌代谢相关皮肤病的临证思路与经验。陈教授通过多年临床观察与实践,认为其基本病机为脾肾功能失调,湿热痰瘀风互结。在治疗方面,坚持辨病与辨证相结合,以恢复脾肾阴阳平衡为法,灵活运用清热利湿、健脾渗湿、燥湿化瘀、滋阴除湿、温阳化湿、祛风除湿、柔肝化湿等“祛湿八法”。并附验案一则,以期为临床辨治内分泌代谢相关皮肤病提供一种新的诊疗思路。Professor Chen Dacan's clinical ideas and experience in treating dermatoses related to endocrine and metabolism were summarized.Based on years of clinical observation and practice,Professor Chen believes that“dysfunction of the spleen and kidney”“damp-heat”“phlegm”“blood stasis”and“wind”mutual knots are key to its pathogenesis.In terms of clinical treatment,adhere to the combination of disease identification and syndrome differentiation,and restoring the balance of Yin and Yang of the spleen and kidney as a method.Besides,the“eight methods of removing dampness”were flexibly used in treatment,such as clearing heat and dampness,invigorating the spleen to relieve dampness,removing dampness and blood stasis,nourishing yin and removing dampness,warming Yang and reducing dampness,dispelling wind and dampness and soothing the liver.A clinical test case is attached to provide a new treatment idea for endocrine and metabolism-related skin diseases.

关 键 词：从湿论治 皮肤淀粉样变 雄激素脱发 痤疮 名医经验 

分 类 号：R275[医药卫生—中医皮科]