杨文信教授治疗白癜风临证经验  

Professor Yang Wenxin s Clinical Experience in the Treatment of Vitiligo

作　　者：李勇 杨春艳 LI Yong;YANG Chunyan(Southwest Medical University,Luzhou 646000,China;Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University,Luzhou 646000,China)

机构地区：[1]西南医科大学,四川泸州646000 [2]西南医科大学附属中医医院,四川泸州646000

出　　处：《中国民族民间医药》2024年第23期91-94,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：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);四川省名中医工作室项目(川中医药办函【2021】12号)。

摘　　要：白癜风是皮肤科常见的色素脱失性皮肤病,属于中医学“白癜”“白驳风”范畴。中医学界对其病因病机看法各有所不同,尚未有统一定论。杨文信教授认为白癜风的主要病机为玄府郁闭,气血失和,与肝、脾、肾脏腑功能失调关系密切,运用“开通玄府”“治皮当先实脾”的治疗思路,治法上重视祛风解表,活血通络,调节脏腑功能,尤重脾胃,方用开郁消白方化裁,结合外用芷丹酊,同时予以心理疏导,并强调情志畅达及良好生活习惯重要性。Vitiligo is a common depigmentation skin disease in dermatology,which belongs to the category of“vitiligo”and“white mottled wind”in traditional Chinese medicine.At present,the understanding of its etiology and pathogenesis in Western medicine is not clear,and the views of the Chinese medicine community and various schools on its etiology and pathogenesis are different,and there is no unified conclusion.Professor Yang Wenxin believes that the main pathogenesis of vitiligo is Xuanfu depression and disharmony of qi and blood,which is closely related to the dysfunction of liver,spleen and kidney.Using the treatment ideas of“opening Xuanfu”and“treating skin first and strengthening spleen”,the treatment method attaches importance to dispelling wind and relieving the exterior,promoting blood circulation and dredging collaterals,regulating the function of zang-fu organs,especially the spleen and stomach.The Kaiyu Xiaobai Prescription is combined with external application of Zhidan Tincture to give psychological counseling,and emphasizes the importance of emotional fluency and good living habits.

关 键 词：白癜风 开通玄府 治皮当先实脾 开郁消白方 杨文信 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]