仝小林“独藏”辨识治疗顽固性老年皮肤瘙痒症  

Treatment of refractory senile pruritus through identification of the only core symptom hidden in many symptoms by Professor Tong Xiaolin

作　　者：陈科宇 王涵 高泽正 刘文科[1] CHEN Keyu;WANG Han;GAO Zezheng;LIU Wenke(Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;The Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029 [3]青岛大学附属医院,青岛266000

出　　处：《长春中医药大学学报》2025年第2期119-121,共3页Journal of Changchun University of Chinese Medicine

基　　金：中西医结合创新范式战略研究(L2324209,XK2023SMC003)。

摘　　要：老年皮肤瘙痒症是临床常见的老年性皮肤病,西医治疗多采用屏障保护剂糖皮质激素外用、抗组胺药口服等对症治疗,但对于一些顽固性、疑难性疾病,疗效不稳定,且易迁延不愈,反复发作。“独藏”辨识体系是仝小林提出的以抓主症为核心,疾病为纲领,辨证为枢纽,上连审因,下达求机的“病-症-证-因机”相结合的辨治思路,通过辨识深藏在诸多症状中独有的核心症状,精准快速诊疗疾病。通过辨识“患处发烫”为老年皮肤瘙痒症的“独藏”症,予升阳益胃汤治疗。Senile pruritus is a common senile dermatosis in clinical practice.Western medicine often uses topical barrier protectants such as glucocorticoids,and oral antihistamines for symptomatic treatment.However,for some stubborn and rare and difficult diseases,the therapeutic efficacy is unstable,and the condition is prone to lingering,being difficult to cure,and recurring frequently.The"Du Cang"(the only core symptom hidden in many symptoms)"identification system is a approach based on syndrome differentiation proposed by Professor Tong Xiaolin,which focuses on distinguishing the main symptoms as the core,the disease as the guideline,syndrome differentiation as the hub,and the combination of"disease-symptom-syndrome-cause and mechanism"which examines the causes and inspects the mechanism;By identifying the unique core symptoms hidden deep in many symptoms,the system can accurately and quickly diagnose and treat diseases.By identifying the"burning of the affected area"as the"Du Cang"syndrome of senile pruritus,Shengyang Yiwei Decoction is administered for treatment.

关 键 词：老年皮肤瘙痒症 独藏 升阳益胃汤 仝小林 

分 类 号：R758.1[医药卫生—皮肤病学与性病学]