岳仁宋黄褐斑方益气养血-培土-辨治黄褐斑
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摘要
岳仁宋教授认为黄褐斑肝、脾、肾功能失调乃发病核心,肝郁、肝虚、肾虚为主要病机,瘀为基础病理产物,夹杂气血失调、冲任失调、络脉不利、经筋气血不通、浊阴沉积等,多以疏肝理气,滋养肝血,益气补肾,滋补肾精,活血化瘀为治法。虽古代医家有脾虚致斑之论述,然当今鲜有单从脾论治或以脾为重点论治者。岳仁宋教授创立黄褐斑方(党参、茯苓、生白术各15g,蜜甘草5g,当归15g,川芎10g,鸡血藤、首乌藤、薏苡仁各30g,牡丹皮、熟地黄、生白芍各15g,醋柴胡、薄荷各10g),益气、养血、培土三法共用,标本兼治,四君子汤为基础,补益脾气;重用薏苡仁,健脾利湿;强调用药施治固然重要,亦不可忽视良好生活节奏,祛除诱因。附验案一则。
Professor SONG Renyue thinks tawny spot liver, spleen, kidney function disorders but the core of onset, stagnation of the liver qi and deficiency of the liver and kidney is the main pathogenesis, blood stasis is the pathological basis of product, mixed with blood disorders, Chong and Ren disorders, adverse collaterals, the band blood barrier, turbid Yin deposition, with soothing the liver and regulating the circulation of Qi, nourishing the liver blood, kidney qi, nourishing the kidney essence, promoting blood circulation to remove blood stasis therapy. Although the ancient physicians discussed spots caused by deficiency of spleen, but the single rarely treated from spleen or on the treatment with emphasis on spleen. SONG Renyue created by Chloasma Fang(Codonopsis, Poria, Atractylodes 15 g, honey licorice 5g, angelica 15 g, 10 g chuanxiong, suberect spatholobus stem, vine of multiflower knotweed, coix lacryma job I kernel 30 g, tree peony bark, Radix Rehmanniae Preparata, Radix Paeoniae Alba 15 g, vinegar bupleurum, peppermint each 10g), three Qi, nourishing and moulding method shared, specimen and cure, Sijunzi Decoction based, replenishing temper; reuse of Coix seed, invigorating spleen to remove dampness; emphasize drug treatment is no doubt important, also can not ignore the rhythm of life, eliminate the incentives. A test case.
Professor SONG Renyue thinks tawny spot liver, spleen, kidney function disorders but the core of onset, stagnation of the liver qi and deficiency of the liver and kidney is the main pathogenesis, blood stasis is the pathological basis of product, mixed with blood disorders, Chong and Ren disorders, adverse collaterals, the band blood barrier, turbid Yin deposition, with soothing the liver and regulating the circulation of Qi, nourishing the liver blood, kidney qi, nourishing the kidney essence, promoting blood circulation to remove blood stasis therapy. Although the ancient physicians discussed spots caused by deficiency of spleen, but the single rarely treated from spleen or on the treatment with emphasis on spleen. SONG Renyue created by Chloasma Fang(Codonopsis, Poria, Atractylodes 15 g, honey licorice 5g, angelica 15 g, 10 g chuanxiong, suberect spatholobus stem, vine of multiflower knotweed, coix lacryma job I kernel 30 g, tree peony bark, Radix Rehmanniae Preparata, Radix Paeoniae Alba 15 g, vinegar bupleurum, peppermint each 10g), three Qi, nourishing and moulding method shared, specimen and cure, Sijunzi Decoction based, replenishing temper; reuse of Coix seed, invigorating spleen to remove dampness; emphasize drug treatment is no doubt important, also can not ignore the rhythm of life, eliminate the incentives. A test case.
引文
[1]中国中西医结合学会皮肤性病专业委员会色素病学组.黄褐斑的临床诊断和疗效标准(2003年修订稿)[J].中国皮肤性病学杂志,2004,3(1):66.
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[8]罗云坚,刘茂才.皮肤性病科专病中医临床诊治[M]北京:人民卫生出版社,2009:420-424.
[9]田代华,刘更生.灵枢经[M].北京:人民卫生出版社,2005:8.
[10]吴谦.医宗金鉴[M].北京:人民卫生出版社,2002:4.
[11]陈实功.外科正宗[M].北京:人民卫生出版社,2007:7.
[12]陈勇,曲剑华.陈彤云辨证论治黄褐斑的经验[C].中华中医药学会皮肤科分会学术会议、全国中医药防治皮肤病成果与技术交流大会、全国中西医结合皮肤科治疗新技术临床推广应用高级研修班文献汇编,2004.
[13]郑金生.圣济总录(校点本)[M]:北京:人民卫生出版社,2013:7.
[2]叶世龙.近年黄褐斑病因病机研究[J].2012年中医美容学术年会论文集,2012:11-14.
[3]冯安吉,海春旭.黄褐斑病因及发病机理[J].第一军医大学学报,2000,20(2):183-184.
[4]林新瑜.黄褐斑的病因及治疗[J].中国皮肤性病学杂志,1999,13(5):301-302.
[5]何秀珍,夏隆庆.黄褐斑的治疗[J].国外医学皮肤性病学分册,1999,25(6):357-359.
[6]许克昌.外科证治全书[M].北京:人民卫生出版社,1966:2.
[7]巢元方.诸病源候论[M].北京:人民卫生出版社,1992:1.
[8]罗云坚,刘茂才.皮肤性病科专病中医临床诊治[M]北京:人民卫生出版社,2009:420-424.
[9]田代华,刘更生.灵枢经[M].北京:人民卫生出版社,2005:8.
[10]吴谦.医宗金鉴[M].北京:人民卫生出版社,2002:4.
[11]陈实功.外科正宗[M].北京:人民卫生出版社,2007:7.
[12]陈勇,曲剑华.陈彤云辨证论治黄褐斑的经验[C].中华中医药学会皮肤科分会学术会议、全国中医药防治皮肤病成果与技术交流大会、全国中西医结合皮肤科治疗新技术临床推广应用高级研修班文献汇编,2004.
[13]郑金生.圣济总录(校点本)[M]:北京:人民卫生出版社,2013:7.