摘要
介绍艾儒棣教授运用中医外治法分期辨治湿疹经验。认为湿疹发病以“湿”为关键病理因素,“治湿”应贯穿始终,以“三期分治,湿邪为本,随症论治”为主导思想。根据各个发病时期的病机及皮损特点选择外治剂型及方药,急性期以风湿热蕴肤为主要病机,治以清热收敛、解毒止痒,剂型多选用溶液、洗剂,方选痒症洗方、荆防苦参汤、苦丁二黄汤、香连金黄散;亚急性期以痰湿热伏为主要病机,治以除湿化浊、清理余热,剂型多选用膏剂,方选蛇黄软膏、黄连膏、紫花地丁软膏;慢性期以痰湿瘀结为主要病机,治以除湿消痰、化瘀止痒,方选止痒软膏、润肌膏、愈肤膏;日常调护常用荷荷巴油、橄榄油外用以润肤。
To summarize Professor AI Rudi's experience in the staged external treatment of eczema by traditional Chinese medicine(TCM).It is believed that dampness is the key pathological factor of eczema,and the treatment for dampness should be carried out throughout the whole process,with the leading idea of“three-stage treatment,dampness as the root,and treatment according to the symptoms”.The preparation and formulas of the external treatment can be applied according to the pathogenesis and lesion characteristics of each stage.In acute stage with wind-dampness and heat in the skin as the main mechanism,the treatment is to clear heat and astringe,resolve toxins and relieve itching,and the preparation is mostly solution and lotion,and the formula could be Yangzheng Xi Formula(痒症洗方),Jingfang Kushen Decoction(荆防苦参汤),Kuding Erhuang Decoction(苦丁二黄汤),and Xianglian Jinhuang Powder(香连金黄散).In subacute stage with phlegm-dampness and heat as the main mechanism,the treatment is to remove dampness and turbidity,clean up the residual heat;the preparation is mostly ointment,and the formula include Shehuang Ointment(蛇黄软膏),Huanglian Ointment(黄连膏),and Zihuan Diding Ointment(紫花地丁软膏).In chronic stage with phlegm-dampness stagnation as the main mechanism,the treatment is to remove dampness and eliminate phlegm,remove blood stasis and stop itching,and the formula could be Zhiyang soft Ointment(止痒软膏),Runji Ointment(润肌膏),Yufu Ointment(愈肤膏);jojoba oil and olive oil are often used as external moisturiser for daily care.
作者
周水涵
韩冰莹
宋玮
肖敏
陈明岭
ZHOU Shuihan;HAN Bingying;SONG Wei;XIAO Min;CHEN Mingling(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610075)
出处
《中医杂志》
CSCD
北大核心
2024年第5期459-463,共5页
Journal of Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项(2023MS420)。
关键词
湿疹
中医外治
名医经验
艾儒棣
eczema
external therapy in traditional Chinese medicine
experience of famous doctor
AI Rudi
