从“伏毒”理论辨治结节性痒疹  

Differentiation andtreatment of nodular prurigo from the theory of“Latent toxin”

作　　者：顾洁方 程宏斌[2] GU Jiefang;CHENG Hong-bin(Clinical College of Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610032,China)

机构地区：[1]成都中医药大学临床医学院,四川成都610075 [2]成都中医药大学附属医院,四川成都610032

出　　处：《四川中医》2025年第4期79-82,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：基于肥大细胞受体MRGPRX2探讨花椒不同提取物在过敏性接触性皮肤瘙痒中的作用机制和临床试验(编号:2023MS0631);七味止痒散医疗机构中药制剂的备案与研发(编号:2024ZD037);马王堆汉墓出土医学文献中的中医养生思想及其发展研究(编号:2021C08)。

摘　　要：结节性痒疹以其剧烈瘙痒、顽固结节成为临床治疗的难点,严重影响患者的身心健康。导师程宏斌教授在临证中从伏毒理论入手,认为该病核心环节为伏藏寒湿之毒,治疗上强调“内顾脾胃,外散湿毒”的治疗原则,在内扶正除湿、祛风通络,在外除湿止痒、杀虫解毒,能在短时间内达到止痒及消除结节的治疗目的,本文以验案为基础,深入分析其治疗机制及诊疗思路。Nodular prurigo,with its intense itching and stubborn nodules,has become a difficult point in clinical treatment,which seriously affects the physical and mental health of patients.Professor Cheng Hongbin,the supervisor,started from the theory of latent toxicity in clinical diagnosis,and believed that the core link of the disease was latent cold and dampness toxicity.The treatment emphasized the principle of“taking care of the spleen and stomach inside and expelling latent toxicity outside”,internal strengthening and dehumidifying,external dehumidifying and eliminating itch,killing insects and detoxification,which could achieve the therapeutic purpose of relieving itch and eliminating nodules in a short period of time.Based on the trial case,this re-view analyzed its therapeutic mechanism and diagnosis and treatment ideas in depth.

关 键 词：结节性痒疹 顽湿聚结 “伏毒”理论 

分 类 号：R229[医药卫生—中医基础理论] R275.9[医药卫生—中医学]