席建元基于“风、痰、瘀、虚”论治原发性皮肤淀粉样变  

XI Jianyuan's approach to treating primary cutaneous amyloidosis based on"wind,phlegm,stasis,and deficiency"

作　　者：杨柳[1] 周媛 赵雅情 张玉凤 王琦 席建元[2] YANG Liu;ZHOU Yuan;ZHAO Yaqing;ZHANG Yufeng;WANG Qi;XI Jianyuan(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《湖南中医药大学学报》2025年第3期548-552,共5页Journal of Hunan University of Chinese Medicine

基　　金：湖南省自然科学基金部门联合基金项目(2023JJ60490);长沙市自然科学基金项目(kq2202457);湖南中医药大学“一方”研究生创新项目(2023YF07);湖南中医药大学国家级预研项目(2022YYZK005)。

摘　　要：原发性皮肤淀粉样变是指淀粉样蛋白沉积在真皮内的一类代谢性疾病,归属于中医学“顽癣”“松皮癣”范畴。席建元教授治疗原发性皮肤淀粉样变拥有丰富的临床经验,提出从“风、痰、瘀、虚”4种不同病机出发探讨疾病本质,将其主要分为风痰阻络、痰瘀互结、血虚风燥3种证型,临床上运用祛风通络、化痰祛瘀、养血润燥等治法,以缓解瘙痒、消除皮损,临床疗效显著。Primary cutaneous amyloidosis(PCA)refers to a metabolic disease characterized by the deposition of amyloid protein in the dermis,which falls under the category of"stubborn tinea"(neurodermatitis)and"loose skin tinea"(psoriasis)in Chinese medicine.Professor XI Jianyuan has rich clinical experience in treating PCA.He proposes exploring the nature of the disease from four different pathogeneses of"wind,phlegm,stasis,and deficiency",and classifies it mainly into three patterns,namely,wind phlegm obstructing the meridians pattern,intertwined phlegm and blood stasis pattern,and blood deficiency-induced wind dryness pattern.In clinical practice,he employs treatment methods such as dispelling wind and unblocking the collaterals,dissolving phlegm and dispelling stasis,nourishing blood,and moistening dryness to alleviate itching and eliminate skin lesions,achieving remarkable clinical efficacy.A verified medical record is attached to share with fellow practitioners.

关 键 词：原发性皮肤淀粉样变 顽癣 松皮癣 瘙痒 名医经验 内外合治 

分 类 号：R275[医药卫生—中医皮科]