YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit

YANG Jin; YANG Xuesong; WU Di; ZHAO Lijuan; ZHANG Xu

doi:10.13288/j.11-2166/r.2024.18.004

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YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit

更新时间：2024-09-11

- YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit
- Journal of Traditional Chinese Medicine Vol. 65, Issue 18, Pages: 1865-1869(2024)
- 作者机构：
  
  云南省中医医院，云南省昆明市五华区光华街120号，650021
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.18.004
  CLC：
- Received：10 March 2024，
  
  Revised：2024-06-29，
  
  Published：17 September 2024
- 稿件说明：
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杨瑾,杨雪松,伍迪等.叶建州运用调心治神法治疗儿童特应性皮炎经验[J].中医杂志,2024,65(18):1865-1869.

YANG Jin,YANG Xuesong,WU Di,et al.YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit[J].Journal of Traditional Chinese Medicine,2024,65(18):1865-1869.
杨瑾,杨雪松,伍迪等.叶建州运用调心治神法治疗儿童特应性皮炎经验[J].中医杂志,2024,65(18):1865-1869. DOI： 10.13288/j.11-2166/r.2024.18.004.

YANG Jin,YANG Xuesong,WU Di,et al.YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit[J].Journal of Traditional Chinese Medicine,2024,65(18):1865-1869. DOI： 10.13288/j.11-2166/r.2024.18.004.

摘要

总结叶建州教授运用调心治神法治疗儿童特应性皮炎（AD）经验。根据儿童AD瘙痒-睡眠心理障碍的临床表现，结合小儿“心常有余”“肝常有余”的生理特点，认为心神失调是儿童AD的重要病机。从中医整体观念出发，基于“五脏藏神”理论，提出调心治神治疗儿童AD的思路。急性期治以清心泻火宁神，方以自拟清心宁神汤加减；慢性期治以养心通脉安神，方以自拟养心安神汤加减；镇心潜阳摄神贯穿治疗全程，常配伍煅龙骨、煅牡蛎、珍珠母等潜阳摄神药以形神同治，为AD患儿的个体化施治提供了新的思路。

Abstract

This paper summarized Professor YE Jianzhou's experience in treating atopic dermatitis （AD） in children with the method of regulating the heart and treating the spirit. According to the clinical manifestations of itching-sleep psychological disorders in children with AD， and the physiological characteristics of "heart

is prone to hyperactivity" and "liver

is prone to hyperactivity" in children， it is believed that heart and spirit disharmony is an important pathogenesis of AD in children.From the concept of holism in traditional Chinese medicine， the principle of regulating the heart and treating the spirit has been proposed for treatment of AD in children， which is based on the theory of "the five

zang

（脏） organs store the spirit". In the acute stage， it is recommended to clear the heart， drain fire and calm the spirit with self-made

Qingxin Ningshen Decoction

（清心宁神汤） in modifications. In the chronic stage， the method of nourishing the heart， unblocking the meridians and calming the spirit is recommended， by using self-made

Yangxin Anshen Decoction

（养心安神汤） with modifications. The method to tranquilize the heart， subdue

yang

and contain the spirit should be implemented

throughout the entire treatment， and

yang

-subduing and spirit-containing medicinals such as Duanlonggu （

Os Draconis Praeparatum

）， Duanmuli （

Concha Ostreae Praeparatum

） and Zhenzhumu （

Concha Margaritiferae Usta

） are usually used to treat the body and the spirit simultaneously. All these are offered to provide new ideas for the individualized treatment of children with AD.

关键词

Keywords

references

中华医学会皮肤性病学分会免疫学组，特应性皮炎协作研究中心 . 中国特应性皮炎诊疗指南（2020版）［J］. 中华皮肤科杂志， 2020 ， 53 （ 2 ）： 81 - 88 .

GUO Y ， ZHANG KY ， ZOU YF ， et al . National situation， trends， and predictions of disease burden of atopic dermatitis in Chinese children and adolescents ［J］. Front Microbiol ， 2023 （ 14 ）： 1161969 . doi： 10.3389/fmicb. 2023. 1161969 http://dx.doi.org/10.3389/fmicb.2023.1161969 .

SUNG M ， SUNG SE ， KANG KK ， et al . Serum-derived neuronalexosomal microRNAs as stress-related biomarkers in an atopic dermatitis model ［J］. Biomedicines ， 2021 ， 9 （ 12 ）： 1764 .

WOLLINA U . Atopic dermatitis and the metabolic syndrome ［J］. Clin Dermatol ， 2018 ， 36 （ 1 ）： 62 - 66 .

沈燕，赵华伟，缪静 . 靶向药物治疗儿童中重度特应性皮炎的临床研究进展［J］. 中国现代应用药学， 2024 ， 41 （ 9 ）： 1287 - 1294 .

陈尚申，徐明圆，刘业强 . 常用皮肤科生物制剂治疗中的矛盾性反应及机制［J］. 中国皮肤性病学杂志， 2024 ， 38 （ 2 ）： 140 - 146 .

WOLLENBERG A ， BARBAROT S ， BIEBER T ， et al . Consensus-based European guidelines for treatment of atopic eczema （atopic dermatitis） in adults and children： part Ⅱ ［J］. J Eur Acad Dermatol ， 2018 ， 32 （ 6 ）： 850 - 878 .

COUPLAND C ， HILL T ， MORRISS R ， et al . Antidepressant use and risk of adverse outcomes in people aged 20－64 years： cohort study using a primary care database ［J］. BMC Med ， 2018 ， 16 （ 1 ）： 36 .

林薇，周琼艳，黄静，等 . 特应性皮炎与精神神经因素相互作用的研究进展［J］. 中国医药导报， 2021 ， 18 （ 5 ）： 33 - 36 .

宋彪，李巍 . 特应性皮炎的精神神经因素［J］. 中华临床免疫和变态反应杂志， 2020 ， 14 （ 5 ）： 512 - 513 .

DOGAN DG ， CANALOGLU SK ， KIVILCIM M ， et al . Sleep patterns of young children with newly diagnosed atopic dermatitis ［J］. Postepy Dermatol Alergol ， 2017 ， 34 （ 2 ）： 143 - 147 .

CHANG YS ， CHOU YT ， LEE JH ， et al . Atopic dermatitis，melatonin，and sleep disturbance ［J］. Pediatrics ， 2014 ， 134 （ 2 ）： e397 - e405 .

KAGE P ， SIMON JC ， TREUDLER R ． Atopic dermatitis and psychosocial comorbidities ［J］. Dtsch Dermatol Ges ， 2020 ， 18 （ 2 ）： 93 - 102 ．

SILVERBERG JI ， GELFAND JM ， MARGOLIS DJ ， et al . Symptoms and diagnosis of anxiety and depression in atopic dermatitis in U.S. adults ［J］. Brit J Dermatol ， 2019 ， 181 （ 3 ）： 554 - 565 .

罗玲玲，崔盘根，李诚让 . 慢性瘙痒性皮肤病的神经-免疫机制研究进展［J］. 皮肤性病诊疗学杂志， 2023 ， 30 （ 5 ）： 81 - 86 .

YU SH ， ATTARIAN H ， ZEE P ， et al ． Burden of sleep and fatigue in US adults with atopic dermatitis ［J］. Dermat Cont Atop Occupat Drug ， 2016 ， 27 （ 2 ）： 50 - 58 .

魏士雄，刘琼，王平 . 《伤寒杂病论》五脏皆令失眠及从神论治探讨［J］. 中医杂志， 2018 ， 59 （ 13 ）： 1169 - 1170 .

冯玲杰，陈安薇，王华 . 儿童特应性皮炎与心理及行为问题相关性的研究进展［J］. 中华皮肤科杂志， 2020 ， 53 （ 11 ）： 941 - 943 .

许雯雯，独家能，郝旭亮，等 . 化石类矿物药龙骨的现代研究与应用进展［J］. 中国中药杂志， 2017 ， 42 （ 10 ）： 1825 - 1829 .

沈梦菲，张伟，赵林华 . 重构本草：牡蛎［J］. 吉林中医药， 2024 ， 44 （ 1 ）： 84 - 86 .

金艳 . 珍珠母重镇安神药理作用及临床应用研究进展［J］. 浙江中医杂志， 2017 ， 52 （ 5 ）： 388 - 389 .

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