艾儒棣教授运用发汗开窍法联合保湿滋润法治疗银屑病经验
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摘要
银屑病是一种红斑鳞屑性疾病,目前对其病因认识主要为血热、血虚、血瘀和湿毒,其治则主要为清热凉血、疏风养血润燥、活血化瘀、清热利湿。在临床上,初患此病,或病位轻浅,或热势不甚,或皮肤干燥无汗,可考虑运用发汗开窍法来行津液、开毛窍治疗银屑病。古人云"有是证,用是药"。银屑病发病时,大多其皮损肥厚干燥,有津液不足之征,需用保湿滋润之法,通过临床实践发现,外用橄榄油、荷荷巴油取得的疗效可观。
Psoriasis is a disease of erythema scale,nowdays,the main etiological factors are blood fever,blood deficiency,blood stasis,dampness and pyretic toxicity. Its treatment principle are mainly for clearing heat and cooling blood,sparing wind and nourishing blood to moisten dryness,promoting blood circulation and removing blood stasis,clearing away heat and exhausting dampness. In daily clinical practice,if the disease is first ever had or the position of the disease is light and shallow,or the thermal condition is not very great,or the skin is dry and there's no sweat seeping through pores,it can be considered using perspiration to let the body fluid flow and open the pores to treat psoriasis. "If there is evidence,it is medicine". During the seizure of proriasis,the skin lesion is thick and dry,there is a shortage of body fluid,so the method of moisturizing is needed. It was found that the curative effect of olive oil and jojoba oil was remarkable through clinical practice.
Psoriasis is a disease of erythema scale,nowdays,the main etiological factors are blood fever,blood deficiency,blood stasis,dampness and pyretic toxicity. Its treatment principle are mainly for clearing heat and cooling blood,sparing wind and nourishing blood to moisten dryness,promoting blood circulation and removing blood stasis,clearing away heat and exhausting dampness. In daily clinical practice,if the disease is first ever had or the position of the disease is light and shallow,or the thermal condition is not very great,or the skin is dry and there's no sweat seeping through pores,it can be considered using perspiration to let the body fluid flow and open the pores to treat psoriasis. "If there is evidence,it is medicine". During the seizure of proriasis,the skin lesion is thick and dry,there is a shortage of body fluid,so the method of moisturizing is needed. It was found that the curative effect of olive oil and jojoba oil was remarkable through clinical practice.
引文
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[3] 李日庆.中医外科学[M].第2版.北京:中国中医药出版社,2007:183
[4] 祁坤.外科大成[M].北京:科技卫生出版社,1958:337
[5] 陈凯,孙丽蕴.衷中参西论治银屑病[M].北京:人民军医出版社,2009:63
[6] 丁光迪.诸病源候论校注[M].北京:人民卫生出版社,1992:995
[7] 吴谦.医宗金鉴:第4分册·外科心法要诀[M].北京:人民卫生出版社,1973:413
[8] 肖晓亭.疯门全书[M].上海:上海科技卫生出版社,1959:15
[9] 许克昌,毕法.外科证治全书[M].北京:人民卫生出版社,1961:122
[10] 王肯堂.证治准绳:中[M].北京:人民卫生出版社,1991:1472
[11] 尤雯丽,艾儒棣.艾儒棣从脾胃论治银屑病经验[J].中国中医基础医学杂志,2014,20(03):395～396
[12] 黎华明.麻桂各半汤加味治疗寻常型银屑病(风寒证)的临床体会[J].求医问药(下半月),2012,10(05):591
[13] 张英栋.“疮家不可发汗”与“汗之则疮已”并不矛盾[N].中国中医药报,2012-05-21(004)
[14] 张云鹤,王建峰.运动汗法在寻常型银屑病治疗中的运用[J].亚太传统药,2016,12(04):97～98
[15] 田丙坤.肺主宣发的理论探讨和病理生理实验研究[D].广州中医药大学,2006
[16] 王建茹,唐雪勇,杨志波,等.刍议汗法与寻常型银屑病治疗[J].中医杂志,2014,55(05):444～445,448
[17] 张卫华.腠理与汗法的研究[D].成都中医药大学,2008
[18] 李赛美,李宇航.伤寒论讲义[M].第3版.北京:人民卫生出版社,2016:42
[19] 金英姿,葛亮.橄榄油的营养成分及其保健功能[J].农产品加工(学刊),2012(06):94～96
[20] 刘纯友,马美湖,靳国锋,等.角鲨烯及其生物活性研究进展[J].中国食品学报,2015,15(05):147～156
[21] 搜瑟利尔,潘华.自然界的美肤礼物——橄榄油[J].日用化学品科学,2005(12):6～9
[22] 王倩.鳄梨果油和橄榄油对人角朊细胞增生和分化的影响[D].郑州大学,2011