成都中医药大学附属医院,四川省成都市金牛区十二桥路39号,610072
luckyamy2005@163.com
收稿:2022-08-27,
修回:2023-03-14,
纸质出版:2023-07-17
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宋玮,王萍,魏可波等.艾儒棣运用祛湿通络法治疗结节性红斑经验[J].中医杂志,2023,64(14):1426-1430.
SONG Wei,WANG Ping,WEI Kebo,et al.AI Rudi's Experience in Treating Erythema Nodosum by Dispelling Dampness and Dredging Collaterals[J].Journal of Traditional Chinese Medicine,2023,64(14):1426-1430.
宋玮,王萍,魏可波等.艾儒棣运用祛湿通络法治疗结节性红斑经验[J].中医杂志,2023,64(14):1426-1430. DOI: 10.13288/j.11-2166/r.2023.14.003.
SONG Wei,WANG Ping,WEI Kebo,et al.AI Rudi's Experience in Treating Erythema Nodosum by Dispelling Dampness and Dredging Collaterals[J].Journal of Traditional Chinese Medicine,2023,64(14):1426-1430. DOI: 10.13288/j.11-2166/r.2023.14.003.
总结艾儒棣教授运用祛湿通络法治疗结节性红斑的经验。认为湿阻络瘀为结节性红斑的核心病机,其中夙湿积聚为发病基础,湿邪流窜经络为始动因素,瘀血阻滞脉络为发病的关键环节,最终湿瘀胶着难解发为红斑、结节、疼痛等症。治疗上以祛湿通络为基础,扶正祛邪、内外合治,祛湿不忘化瘀,通络不忘散结。急性期多见湿热瘀阻证,治以清热利湿、活血通络,内服加味四妙散,外敷验方金黄散;慢性期多为寒湿阻络证,治以健脾化湿、温经通络,内服艾氏四君子汤合当归四逆汤,外敷冲和散。内外并治,故获良效。
This paper summarized professor AI Rudi's experience in treating erythema nodosum by dispelling dampness and dredging collaterals. It is concluded that dampness obstruction and collateral stasis are the core pathogenesis of erythema nodosum. Among them, the long-term accumulation of dampness is the basis, while dampness pathogen flowing through channels and collaterals is the initial factor. Blood stasis obstructing the vessels is the key link in the pathogenesis, and eventually dampness and blood stasis will lead to erythema, nodules, pain and other symptoms. Treatment principle should be dispelling dampness and dredging collaterals, and it is advised to reinforce healthy
qi
and dispel pathogen, and combine the internal treatment with the external treatment. When dispelling dampness, it is also critical to dissolve stasis, and when dredging collaterals, dissipating masses is necessary. For the acute stage, the syndrome of dampness and heat stasis obstruction is commonly seen and mainly treated by clearing heat and draining dampness, promoting blood circulation and dredging collaterals, with orally administered
Modified
Simiao Powder (
加味四妙散) and externally applied
Proven Formula Jinhuang Powder (
验方金黄散). In the chronic phase, the syndrome of cold and dampness obstructing the collaterals is commonly seen and mainly treated with the method of fortifying the spleen and removing dampness, warming the meridian and dredging the collaterals, with orally taken
Ai's Sijunzi Decoction (
艾氏四君子汤) and
Danggui Sini Decoction
(当归四逆汤) and externally applied
Chonghe Powder (
冲和散). Integrated internal and external treatment makes a good effect.
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