基于络病理论分期辨治肛周湿疹探讨  

Approach to syndrome differentiation and treatment of perianal eczema by stages based on the theory of collateral disease

作　　者：魏梦婷 刘世茹[2] WEI Meng-ting;LIU Shi-ru(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;不详)

机构地区：[1]成都中医药大学,成都610075 [2]成都中医药大学附属医院

出　　处：《山西中医》2025年第2期1-3,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：基于络病理论,认为肛周湿疹核心病机为邪犯皮肤络脉,络脉不通,引发各种皮腠病变。急性期为湿热侵袭,损伤络脉;慢性期为痰瘀互结,阻滞络脉;反复发作,络虚邪伏,引动则发。治疗主张通畅络脉贯穿全程,分期辨治,急性期清热除湿,透达络邪,慢性期化痰逐瘀,祛邪通络,反复发作迁延者滋润通补,扶正通络。并强调日常调护在肛周湿疹治疗中的重要性。Based on the theory of collateral disease,it is believed that the core pathogenesis of perianal eczema is pathogen invading collaterals of skin and blockage of collaterals,so as to cause various lesions of myocutaneous junction.The acute stage is mainly characterized by damp-heat invading and damages of collaterals,while the chronic stage is mainly characterized by intermingling phlegm with blood stasis and blockage of collaterals;the common points of both are recurrent seizures,collateral deficiency,pathogen incubation as well as so long as inducement,seizures.The treatment should focus on dredging collaterals throughout the whole process as well as syndrome differentiation and treatment by stages.Clearing away heat and removing dampness for acute stage should penetrate into collaterals and pathogen,while resolving phlegm and removing blood stasis for chronic stage should eliminate pathogen and dredge collaterals,and those who suffer from recurrent and prolonged seizures should be nourished and tonified enoughly,in order to strengthen the body resistance and dredge collaterals.It also emphasizes the importance of daily nursing in the treatment of perianal eczema.

关 键 词：肛周湿疹 络病理论 病机 辨证施治 

分 类 号：R266[医药卫生—中医外科学]