胆碱能性荨麻疹中医治疗进展  

A review on the TCM treatment of cholinergic urticaria

作　　者：窦媛 曹毅[1] DOU Yuan;CAO Yi

机构地区：[1]浙江中医药大学,浙江杭州310053

出　　处：《中医临床研究》2024年第24期113-116,共4页Clinical Journal Of Chinese Medicine

基　　金：曹毅名老中医专家传承工作室(GZS2020022);中医药传承工程战略研究(GZY-KJS-2018-012)。

摘　　要：胆碱能性荨麻疹是慢性诱发性荨麻疹的一种亚型,目前发病机制未明确,发病人群多为青少年,常在运动、受热、进食辛辣食物、情绪紧张、汗出后发病,通常出现遍身红色风团、瘙痒、疼痛等症状,甚则头晕、恶心、呼吸困难危及生命。本病病程较长,发作频繁,严重影响患者生活质量。西医治疗胆碱能性荨麻疹以抗组胺类、激素类药物为主,疗效有限,易复发。中医认为本病属“瘾疹”范畴,医家多认为本病与风邪密切相关,可分为内因和外因,由风邪与患者体内寒邪、热邪、湿邪、血瘀等相结合而诱发。根据其发病特点,在辨证时应尤其注重情绪、有无汗出,饮食、体质等方面,灵活选方。中医在本病的临床治疗中具有长期疗效好、复发率低等优势。此外多项研究采用了中西医结合的治疗方法,综合有效率及复发率明显优于单纯西医治疗,见效更快,提高了患者的依从性,值得进一步探讨与总结。笔者回顾中医治疗胆碱能性荨麻疹的相关文献,总结整理病因病机,将其分为5方面,分别从水火不济、肝失疏泄、风热犯肺、营卫失调、脾胃湿热进行论述,中医外治方面阐述了穴位针刺、穴位埋线、穴位注射、自血疗法等多种特色疗法,以期为临床治疗提供参考。Cholinergic urticaria is a subtype of chronic induced urticaria,and its pathogenesis is not clear at present.Most of the patients are adolescents,and the disease often occurs after exercise,heat exposure,eating spicy food,feeling stressed and sweating.Symptoms include red wheal,itching,pain,etc.,in severe cases,there are even dizziness,nausea,breathing difficulties,which are life-threatening.The disease has a long course and frequent attacks,which seriously affects the quality of life of patients.Western medicine treats cholinergic urticaria mainly with antihistamines and hormones,the curative effect is limited,and it is easy to relapse.Traditional Chinese medicine believes that the disease belongs to the“addiction rash”category,and the disease is closely related to the pathogenic wind,which can be divided into internal and external causes,and the disease is induced by the combination of pathogenic wind and cold,heat,dampness and blood stasis in the patient.According to the characteristics of the disease,special attention should be given to the aspects of emotion,sweating,diet,constitution,etc.,and choose the prescription flexibly.Traditional Chinese medicine has the advantages of good long-term curative effects and low recurrence rate in the clinical treatment of this disease.In addition,a number of studies have adopted the treatment method of the integrative medicine,and the comprehensive effective rate and recurrence rate are obviously better than that of simple Western medicine treatment,the effect is faster,and the compliance of patients is improved,which is worthy of further discussion and summary.By reviewing the relevant literature on the treatment of cholinergic urticaria in traditional Chinese medicine,the etiology and pathogenesis of urticaria are summarized and divided into five aspects,which are discussed from the imbalance of water and fire,liver dysfunction,wind-heat invading lung,disturbance of Ying and Wei(营卫),dampness-heat of spleen and stomach,respectively.In terms of external treatment

关 键 词：胆碱能性荨麻疹 中医药 综合疗法 综述 

分 类 号：R275[医药卫生—中医皮科]