李萍教授运用滋生青阳汤治疗皮肤瘙痒性疾病经验撷菁
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摘要
李萍教授认为皮肤瘙痒性疾病的病因多以内风为主,临证治疗可用滋生青阳汤滋阴潜阳、养血熄风。本文对滋生青阳汤的组方分析、瘙痒性皮肤病病因病机及治则总结、滋生青阳汤治疗瘙痒性皮肤疾患的临床应用等几方面介绍李萍教授运用滋生青阳汤的学术观点及临证经验,并附2个病例予以分析、讨论,以飨同道。
Professor Li Ping believes that the cause of pruritus is mainly due to internal wind. The clinical treatment of these diseases is to nourish yin and yang, as well as nourish blood and eliminate wind. The article introduces Professor Li Ping's academic viewpoint and clinical experience of using Zisheng Qingyang Decoction from the aspects of the prescription analysis of the decoction, the pathogenesis and treatment of pruritic dermatosis, and the clinical application of this decoction in the treatment of pruritic skin diseases. Meanwhile, two cases are analyzed for the same purpose.
Professor Li Ping believes that the cause of pruritus is mainly due to internal wind. The clinical treatment of these diseases is to nourish yin and yang, as well as nourish blood and eliminate wind. The article introduces Professor Li Ping's academic viewpoint and clinical experience of using Zisheng Qingyang Decoction from the aspects of the prescription analysis of the decoction, the pathogenesis and treatment of pruritic dermatosis, and the clinical application of this decoction in the treatment of pruritic skin diseases. Meanwhile, two cases are analyzed for the same purpose.
引文
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[2]茹丽艳,蔡涛,余维华,等.微管不稳定蛋白stathmin在炎症性皮肤病引起的慢性瘙痒患者中的作用[J].重庆医科大学学报,2017,42(5):499-503.
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[4]李春霄,赖江,黄莺.瘙痒性皮肤病的中西医结合序贯疗法治疗浅析[J].河北中医,2015,37(11):1715-1717.
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[6]Gutierrezmecinas M,Bell AM,Marin A,et al.Preprotachykinin A is expressed by a distinct population of excitatory neurons in the mouse superficial spinal dorsal horn including cells that respond to noxious and pruritic stimuli[J].Pain,2017,158(3):440.
[7]姚煦.慢性瘙痒的定义及分类[J].皮肤病与性病,2017,39(4):249-250.
[8]任宏珊,乔晓青,Vollmar Jing,等.从中医美容浅析皮肤瘙痒与情志关系[J].亚太传统医药,2017,13(1):86-87.
[9]舒畅,王英夫,辛鹏,等.复方利多卡因联合卤米松治疗瘙痒性皮肤病的疗效观察[J].中国医院药学杂志,2014,34(11):918-920.
[10]李建明,王怀湘.卤米松乳膏联合维A酸乳膏治疗瘙痒性肥厚性皮肤病的临床疗效观察[J].中国医药指南,2017,15(30):114-115.
[11]景慧玲,许继宗,刘宁.五音疗病体系在瘙痒性皮肤疾病的应用初探[J].陕西中医,2016,37(6):713-714.
[12]李思婷.火针干预结合辨证取穴针刺治疗慢性瘙痒性皮肤病病例系列研究[D].北京:中国中医科学院,2017.
[13]刘邦民,张涓,高天文.浅谈从风论治瘙痒性皮肤病[J].辽宁中医杂志,2010,37(5):834-836.
[14]曹娟,沈明祎.从风论治瘙痒性皮肤病[J].四川中医,2007,25(6):30-31.
[15]孙宸伟,彭屹峰.中风病因病机现代发微[J].中医文献杂志,2017,35(3):68-69.
[16]王孝理,李焕芹,曹克刚,等.中风病因病机理论探讨[J].山东中医杂志,2014,33(3):165-167.
[17]胡龙涛,蔡芳妮,王亚丽.中风病病因病机探析[J].中西医结合心脑血管病杂志,2017,15(7):883-885.
[18]孟元,王雨,张胜容,等.滋生青阳汤加减方治疗阴虚阳亢型围绝经期高血压临床观察[J].中华中医药学刊,2013,31(11):2572-2574.
[19]高力珊.滋生青阳汤加减治疗三叉神经痛63例临床观察[J].北京中医,1996(4):38-39.
[20]Therene C,Brenaut E,Barnetche T,et al.Efficacy of Systemic Treatments of Psoriasis on Pruritus:A Systemic Literature Review and Meta-Analysis[J].J Invest Dermatol,2018,138(1):38-45.
[21]黄鸿达,邓列华.睡眠不足在慢性瘙痒性皮肤病中的表现及处理[J].实用皮肤病学杂志,2012,5(3):155-158.
[22]邱隆树,张毅.论重镇药在皮肤病治疗中的效用[J].辽宁中医药大学学报,2012,14(11):111-112.
[23]颜志芳.庄国康教授学术经验传承及重潜搜风法治疗瘙痒性皮肤病的研究[D].北京:中国中医科学院,2016.
[24]马天,李斌.李斌教授运用四重汤治疗皮肤病经验举隅[J].云南中医学院学报,2016,39(6):80-83.
[2]茹丽艳,蔡涛,余维华,等.微管不稳定蛋白stathmin在炎症性皮肤病引起的慢性瘙痒患者中的作用[J].重庆医科大学学报,2017,42(5):499-503.
[3]Sharma S,Melvin ME.What is causing this man's pruritic purple papules?[J].JAAPA,2017,30(1):55-56.
[4]李春霄,赖江,黄莺.瘙痒性皮肤病的中西医结合序贯疗法治疗浅析[J].河北中医,2015,37(11):1715-1717.
[5]Chapman SE,Han MJ,Alfar J.Expanding pruritic plaque on the forearm[J].Cutis,2017,99(2):80,87-88.
[6]Gutierrezmecinas M,Bell AM,Marin A,et al.Preprotachykinin A is expressed by a distinct population of excitatory neurons in the mouse superficial spinal dorsal horn including cells that respond to noxious and pruritic stimuli[J].Pain,2017,158(3):440.
[7]姚煦.慢性瘙痒的定义及分类[J].皮肤病与性病,2017,39(4):249-250.
[8]任宏珊,乔晓青,Vollmar Jing,等.从中医美容浅析皮肤瘙痒与情志关系[J].亚太传统医药,2017,13(1):86-87.
[9]舒畅,王英夫,辛鹏,等.复方利多卡因联合卤米松治疗瘙痒性皮肤病的疗效观察[J].中国医院药学杂志,2014,34(11):918-920.
[10]李建明,王怀湘.卤米松乳膏联合维A酸乳膏治疗瘙痒性肥厚性皮肤病的临床疗效观察[J].中国医药指南,2017,15(30):114-115.
[11]景慧玲,许继宗,刘宁.五音疗病体系在瘙痒性皮肤疾病的应用初探[J].陕西中医,2016,37(6):713-714.
[12]李思婷.火针干预结合辨证取穴针刺治疗慢性瘙痒性皮肤病病例系列研究[D].北京:中国中医科学院,2017.
[13]刘邦民,张涓,高天文.浅谈从风论治瘙痒性皮肤病[J].辽宁中医杂志,2010,37(5):834-836.
[14]曹娟,沈明祎.从风论治瘙痒性皮肤病[J].四川中医,2007,25(6):30-31.
[15]孙宸伟,彭屹峰.中风病因病机现代发微[J].中医文献杂志,2017,35(3):68-69.
[16]王孝理,李焕芹,曹克刚,等.中风病因病机理论探讨[J].山东中医杂志,2014,33(3):165-167.
[17]胡龙涛,蔡芳妮,王亚丽.中风病病因病机探析[J].中西医结合心脑血管病杂志,2017,15(7):883-885.
[18]孟元,王雨,张胜容,等.滋生青阳汤加减方治疗阴虚阳亢型围绝经期高血压临床观察[J].中华中医药学刊,2013,31(11):2572-2574.
[19]高力珊.滋生青阳汤加减治疗三叉神经痛63例临床观察[J].北京中医,1996(4):38-39.
[20]Therene C,Brenaut E,Barnetche T,et al.Efficacy of Systemic Treatments of Psoriasis on Pruritus:A Systemic Literature Review and Meta-Analysis[J].J Invest Dermatol,2018,138(1):38-45.
[21]黄鸿达,邓列华.睡眠不足在慢性瘙痒性皮肤病中的表现及处理[J].实用皮肤病学杂志,2012,5(3):155-158.
[22]邱隆树,张毅.论重镇药在皮肤病治疗中的效用[J].辽宁中医药大学学报,2012,14(11):111-112.
[23]颜志芳.庄国康教授学术经验传承及重潜搜风法治疗瘙痒性皮肤病的研究[D].北京:中国中医科学院,2016.
[24]马天,李斌.李斌教授运用四重汤治疗皮肤病经验举隅[J].云南中医学院学报,2016,39(6):80-83.