钱先教授结合《金匮要略》论治白塞病
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摘要
白塞病,中医称之为"狐惑病"。张仲景《金匮要略》对其有较详细的论述,认为狐惑病乃湿热化生虫毒所致,应以甘草泻心汤为主方,治疗上以清热燥湿、和中解毒为原则。钱先教授结合《金匮要略》指导现代白塞病的治疗。认为初期病机为湿热内蕴,疮毒内扰,治以清热燥湿,和中解毒,方用张仲景《金匮要略》之甘草泻心汤加减;后期湿毒不化,目黑酿脓,治以《金匮要略》之赤小豆当归散清热利湿、行瘀排脓。外治方面:前阴溃疡可用苦参汤外洗,后阴溃疡可用雄黄熏之。
Behcet's disease, called Huhuobing(throat-anus-genital syndrome) in Chinese medicine, is discussed in moredetail in ZHANG Zhongjing's Synopsis of the Golden Chamber. It is believed that throat-anus-genital syndrome is caused by dampness and heat, which is caused by insect toxin, and should be mainly prescribed by Gancao Xiexin decoction, which should be treated by clearing heat, removing dampness and toxicity. Professor QIAN Xian guides the treatment of Behcet's disease with Synopsis of the Golden Chamber, and thinks that the initial pathogenesis is internal retention of damp-heat, toxicity and phlegm-heat attacking internally, it should be treated with clearing heat, removing dampness and toxicity, Gancao Xiexin decoction is the main prescription. Later pathogenesis is damp toxin does not changing, it should be treated with clearing heat and dampness, removing blood stasis and pus, Chixiaodou Danggui powder is the main prescription. External treatments introduce that anterior vaginal ulcer can be washed by Kushen decoction, posterior vaginal ulcer can be fumigated by realgar.
Behcet's disease, called Huhuobing(throat-anus-genital syndrome) in Chinese medicine, is discussed in moredetail in ZHANG Zhongjing's Synopsis of the Golden Chamber. It is believed that throat-anus-genital syndrome is caused by dampness and heat, which is caused by insect toxin, and should be mainly prescribed by Gancao Xiexin decoction, which should be treated by clearing heat, removing dampness and toxicity. Professor QIAN Xian guides the treatment of Behcet's disease with Synopsis of the Golden Chamber, and thinks that the initial pathogenesis is internal retention of damp-heat, toxicity and phlegm-heat attacking internally, it should be treated with clearing heat, removing dampness and toxicity, Gancao Xiexin decoction is the main prescription. Later pathogenesis is damp toxin does not changing, it should be treated with clearing heat and dampness, removing blood stasis and pus, Chixiaodou Danggui powder is the main prescription. External treatments introduce that anterior vaginal ulcer can be washed by Kushen decoction, posterior vaginal ulcer can be fumigated by realgar.
引文
[1]唐福林.风湿免疫科医师效率手册[M].北京:中国协和医科大学出版社, 2010.
[2]马骥良.白塞氏病的诊断与治疗进展[J].临床内科杂志,2002, 19(3):177-179.
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[6]赵伯洋,王金瑞.雷公藤片与清利化解汤同用治愈白塞氏病8例[J].天津中医药, 2002, 19(2):30.
[7]施明,刘永年.刘永年教授治疗白塞氏病[J].吉林中医药,2015, 35(11):1104-1107.
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[10]吴德鸿,李正富.仲景治湿大法浅析[J].长春中医药大学学报, 2014, 30(3):386-388.
[11]马金昀,胡建东.甘草泻心汤治疗复发性口腔溃疡疗效的Meta分析[J].中华临床医师杂志, 2016, 10(7):118-119.
[12]徐光星,何若苹,何任.狐惑病方证与临床[J].浙江中医药杂志, 2009, 44(7):474-475.
[13]胡瑞,张涛.甘草泻心汤内服联合苦参汤熏蒸治疗白塞综合征的临床疗效观察[J].新疆中医药, 2017, 35(3):25-27.
[14]李楠.甘草泻心汤合赤小豆当归散治疗白塞病的机理探讨[J].中国中医基础医学杂志, 2010, 16(9):801-802.
[15]薛震,李帅,王素娟,等.山慈菇Creamstra appendiculata化学成分[J].中国中医药杂志, 2005, 30(7):511-513.
[16]望琴.闽产白花蛇舌草抗肿瘤与抗炎的实验研究[D].福州:福建中医药大学, 2013.
[17]赵红星,张俐俐,张岗.白塞病的中医临床研究进展[J].现代中西医结合杂志, 2012, 21(36):4102-4105.
[18]胡梦梅.土茯苓化学成分分离及抗炎活性研究[D].广州:广州中医药大学, 2014.
[19]李思敏,包洁,汪琴静,等.从湿毒论治白塞氏病[J].江西中医药大学学报, 2015, 27(2):18-19.
[20]张志瑞,徐继莲,何等旗,等.中药治疗白塞氏病疗效的Meta分析[J].中国中医基础医学杂志, 2015, 21(7):872-874.
[2]马骥良.白塞氏病的诊断与治疗进展[J].临床内科杂志,2002, 19(3):177-179.
[3]范永升,姜德友.金匮要略[M].北京:中国中医药出版社,2012:51.
[4]蒋希成.狐惑病治验探讨[J].中医药学报, 2013, 41(4):120-121.
[5]艾华,曲道,董超峰.从狐惑论治白塞综合征探析[J].山东中医杂志, 2014, 33(2):964-966.
[6]赵伯洋,王金瑞.雷公藤片与清利化解汤同用治愈白塞氏病8例[J].天津中医药, 2002, 19(2):30.
[7]施明,刘永年.刘永年教授治疗白塞氏病[J].吉林中医药,2015, 35(11):1104-1107.
[8]姜建国.伤寒论讲义[M].上海:上海科学技术出版社,2009:77.
[9]张立亭.甘草泻心汤治疗风湿类疾病应用体会[J].山东中医药大学学报, 2001, 25(6):447-449.
[10]吴德鸿,李正富.仲景治湿大法浅析[J].长春中医药大学学报, 2014, 30(3):386-388.
[11]马金昀,胡建东.甘草泻心汤治疗复发性口腔溃疡疗效的Meta分析[J].中华临床医师杂志, 2016, 10(7):118-119.
[12]徐光星,何若苹,何任.狐惑病方证与临床[J].浙江中医药杂志, 2009, 44(7):474-475.
[13]胡瑞,张涛.甘草泻心汤内服联合苦参汤熏蒸治疗白塞综合征的临床疗效观察[J].新疆中医药, 2017, 35(3):25-27.
[14]李楠.甘草泻心汤合赤小豆当归散治疗白塞病的机理探讨[J].中国中医基础医学杂志, 2010, 16(9):801-802.
[15]薛震,李帅,王素娟,等.山慈菇Creamstra appendiculata化学成分[J].中国中医药杂志, 2005, 30(7):511-513.
[16]望琴.闽产白花蛇舌草抗肿瘤与抗炎的实验研究[D].福州:福建中医药大学, 2013.
[17]赵红星,张俐俐,张岗.白塞病的中医临床研究进展[J].现代中西医结合杂志, 2012, 21(36):4102-4105.
[18]胡梦梅.土茯苓化学成分分离及抗炎活性研究[D].广州:广州中医药大学, 2014.
[19]李思敏,包洁,汪琴静,等.从湿毒论治白塞氏病[J].江西中医药大学学报, 2015, 27(2):18-19.
[20]张志瑞,徐继莲,何等旗,等.中药治疗白塞氏病疗效的Meta分析[J].中国中医基础医学杂志, 2015, 21(7):872-874.