仲景方在治疗荨麻疹中的应用
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摘要
荨麻疹为临床常见病、多发病,缠绵难愈。桂枝加龙骨牡蛎汤、升麻鳖甲汤、黄芪建中汤、五苓散、温经汤、黄芪桂枝五物汤均出自《金匮要略》,通过经方分析并结合临床辨证,将6张经方有效运用于荨麻疹的治疗,对慢性荨麻疹及风寒、湿热、冲任不调和气血两虚所致顽固性荨麻疹均有较好的治疗效果。在辨证论治、异病同治的指导思想下,体悟到各方精髓之处,并扩大了经方的应用范围。
Urticaria is a clinical common disease,frequently-occurring disease,lingering painless. Longgu Muli Tang,Shengma Biejia Tang,Huangqi Jianzhong Tang,Wuling San,Wenjing Tang,Huangqi Guizhi Wuwu Tang are from the Synopsis Golden Chamber,through the analysis and combined with the clinical syndrome differentiation,the six classical prescriptions were used in the treatment of urticaria,had a better therapeutic effect to chronic Urticaria and cold,damp-heat,disharmony of the thoroughfare and conception vessels type,blood deficiency of urticaria. Under the guiding of treatment based on syndrome differentiation and same treatment for different disease,got the essence and expand the application range of the party.
Urticaria is a clinical common disease,frequently-occurring disease,lingering painless. Longgu Muli Tang,Shengma Biejia Tang,Huangqi Jianzhong Tang,Wuling San,Wenjing Tang,Huangqi Guizhi Wuwu Tang are from the Synopsis Golden Chamber,through the analysis and combined with the clinical syndrome differentiation,the six classical prescriptions were used in the treatment of urticaria,had a better therapeutic effect to chronic Urticaria and cold,damp-heat,disharmony of the thoroughfare and conception vessels type,blood deficiency of urticaria. Under the guiding of treatment based on syndrome differentiation and same treatment for different disease,got the essence and expand the application range of the party.
引文
[1]张学军.皮肤性病学[M].北京:人民卫生出版社,2013.
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[4]王自立.王自立教授运用桂枝加龙骨牡蛎汤经验[J].新疆中医药,2014,27(3):41-43.
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[14]王静军,郭海龙,王永辉,等.黄芪桂枝五物汤止痒作用的实验研究[J].世界中西医结合杂志,2010,5(12):1040-1041.
[15]耿立冬.黄芪桂枝五物汤加减治疗风寒型荨麻疹63例[J].吉林中医药,2004,24(12):24-25.
[16]杨新林,黄敏.黄芪桂枝五物汤加减治疗慢性荨麻疹30例[J].新疆中医药,2004,22(2):16.
[17]黄彦,梁承志,欧柏生,等.食疗方合穴位敷贴治疗慢性荨麻疹临床观察[J].辽宁中医药大学学报,2014,16(5):180.
[18]汪伟,胡蓉蓉,丁晶.慢性荨麻疹中医证型及治疗进展[J].辽宁中医药大学学报,2014,16(1):220.
[19]任凯芳,李铁男,陈家惠,等.荨麻疹2号汤与雷火灸联合咪唑斯汀治疗原发性获得性寒冷性荨麻疹临床观察[J].辽宁中医杂志,2013(5):951-952.
[2]雷载权.中药学[M].上海:上海科学技术出版社,1995:250-258.
[3]刘伟华.桂枝加龙骨牡蛎汤临床应用[J].新疆中医药,2011,29(2):89-90.
[4]王自立.王自立教授运用桂枝加龙骨牡蛎汤经验[J].新疆中医药,2014,27(3):41-43.
[5]范永升,温成平.阴阳毒证治探讨[J].中国医药学报,1997,12(4):55-56.
[6]李长乐.升麻鳖甲汤治疗顽固性荨麻疹30例[J].四川中医,2011,29(2):100.
[7]常贵祥.升麻鳖甲汤治疗慢性荨麻疹96例[J].中医研究,2007,20(9):40.
[8]张乃卿.黄芪建中汤临床新用[J].新中医,1985(10):42.
[9]许久光.经方治疗冷风性荨麻疹临床观察[J].山西中医,2001,17(9):18.
[10]朱海峰,朱同宣,朱东霞.五苓散的双向调节作用[J].时珍国医国药,1998,9(6):542.
[11]张苍.桂枝类方治疗慢性荨麻疹26例临床观察[J].吉林中医药,2011,31(6):527-528.
[12]谢灵冬,赵淑勤.温经活血汤治疗寒冷性荨麻疹31例[J].陕西中医,2011,32(9):1164-1165.
[13]王彩清,魏晓林.温经汤治疗女性荨麻疹80例临床观察[J].包头医学院学报,1998,14(2):57-58.
[14]王静军,郭海龙,王永辉,等.黄芪桂枝五物汤止痒作用的实验研究[J].世界中西医结合杂志,2010,5(12):1040-1041.
[15]耿立冬.黄芪桂枝五物汤加减治疗风寒型荨麻疹63例[J].吉林中医药,2004,24(12):24-25.
[16]杨新林,黄敏.黄芪桂枝五物汤加减治疗慢性荨麻疹30例[J].新疆中医药,2004,22(2):16.
[17]黄彦,梁承志,欧柏生,等.食疗方合穴位敷贴治疗慢性荨麻疹临床观察[J].辽宁中医药大学学报,2014,16(5):180.
[18]汪伟,胡蓉蓉,丁晶.慢性荨麻疹中医证型及治疗进展[J].辽宁中医药大学学报,2014,16(1):220.
[19]任凯芳,李铁男,陈家惠,等.荨麻疹2号汤与雷火灸联合咪唑斯汀治疗原发性获得性寒冷性荨麻疹临床观察[J].辽宁中医杂志,2013(5):951-952.