皮肤瘙痒症的发病机制与治疗现状  

The Pathogenesis and Treatment Status of Pruritus

作　　者：张强 曹琪 李艳彦 ZHANG Qiang;CAO Qi;LI Yanyan(Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,China;Shanxi Traditional Chinese Medical Hospital,Taiyuan 030012,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]山西省中医院,山西太原030012

出　　处：《西部中医药》2025年第3期93-97,共5页Western Journal of Traditional Chinese Medicine

摘　　要：从现代医学及中医学两方面入手,探讨皮肤瘙痒症的发病机制与治疗现状。西医认为瘙痒主要由传导介质及其受体和传导通路来介导,传导通路主要有组胺依赖型和非组胺依赖型两条神经通路编码,以一般治疗、局部药物疗法、理化疗法、系统疗法和其他疗法为主;中医认为瘙痒的发病主要与“风”相关,将病因病机概括为禀赋不足、外感六淫、阴血不足、情志损伤、瘀血、湿热、饮食不洁七大类,治疗时以方药内治和敷药、外洗、熏洗、针刺、火针等中医外治法为主。The pathogenesis and treatment status of pruritus is discussed from modern medicine and traditional Chinese medicine,Western medicine argues that pruritus occurs by transmission medium and its receptors,and conduction pathways which are encoded by two main neural pathways,histamine-dependent and nonhistamine-dependent,with general treatment,local drug therapy,physicochemical therapy,systemic therapy and other therapies;TCM believes that the incidence of pruritus was related to"wind",and the disease could be generalized into inadequate endowment,external six pathogens,Yin-blood insufficiency,emotional injury,blood stasis,damp-heat and unhygienic diet according to the cause and the pathogenesis,adopting the prescriptions and medicines for oral administration,external application,external wash,fumigation,acupuncture,fire-needle as the treatment.

关 键 词：瘙痒 研究进展 病因病机 治疗 

分 类 号：R275[医药卫生—中医皮科]