甘肃中医药大学中医临床学院,甘肃省兰州市城关区定西东路35号,730000
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收稿:2023-01-08,
修回:2023-09-04,
纸质出版:2023-11-02
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李廷保,杨鹏斐,梁永林等.基于部位辨证治疗反向型银屑病经验[J].中医杂志,2023,64(21):2253-2256.
LI Tingbao,YANG Pengfei,LIANG Yonglin,et al.Experience in the Treatment of Reverse Psoriasis Based on Location-Based Syndrome Differentiation[J].Journal of Traditional Chinese Medicine,2023,64(21):2253-2256.
李廷保,杨鹏斐,梁永林等.基于部位辨证治疗反向型银屑病经验[J].中医杂志,2023,64(21):2253-2256. DOI: 10.13288/j.11-2166/r.2023.21.015.
LI Tingbao,YANG Pengfei,LIANG Yonglin,et al.Experience in the Treatment of Reverse Psoriasis Based on Location-Based Syndrome Differentiation[J].Journal of Traditional Chinese Medicine,2023,64(21):2253-2256. DOI: 10.13288/j.11-2166/r.2023.21.015.
总结基于部位辨证治疗反向型银屑病的经验。认为反向型银屑病发病以“湿、热、瘀、毒”为主要病理因素,临床在结合发病部位辨证治疗的基础上,根据湿、热、瘀、毒的不同侧重灵活施治。发于上部常见风热袭表证,治以清热透表、疏风止痒,方用自拟三花汤加减;或血热蕴结证,治以清解热毒、凉血消斑,方用自拟三草汤加减。发于中部多为湿热蕴脾证,治以清热解毒、燥湿健脾,方用自拟三黄汤加减;或瘀热互结证,治以化瘀清热、解毒通络,方用自拟三藤汤加减。发于下部多为湿热下注证,治以解毒除湿、清利下焦,方用自拟三苓汤加减;或寒湿蕴毒证,治以温阳益气、解毒除湿,方用自拟三参汤加减。
To summarize the experience in treating reverse psoriasis based on location-based syndrome differentiation. It is believed that the main pathological factors in the onset of reverse psoriasis are dampness, heat, stasis, and toxins. In clinical practice, treatment is tailored based on the location-based syndrome differentiation and treatment according to the presence of dampness, heat, stasis, and toxins. For cases that manifest predominantly in the upper body with wind-heat attacking the surface, the treatment focuses on clearing heat, dispersing wind, and relieving itching, and a self-designed
Sanhua Decoction
(三花汤) is used. Alternatively, for cases with blood heat accumulating and stagnation, the treatment emphasizes on clearing heat and toxins, and cooling blood to eliminate skin lesions, and self-designed
Sancao Decoction
(三草汤) is employed. For cases that mainly affect the middle part of the body with damp-heat stagnating in the spleen, the treatment focuses on clearing heat, resolving toxins, and drying dampness while invigorating the spleen, and a self-designed
Sanhuang Decoction
(三黄汤) is applied. For cases with stasis and heat intertwining, the treatment aims to resolve stasis, clear heat, and activate collaterals while detoxifying, and a
self-designed
Santeng Decoction
(三藤汤) is used. For cases that predominantly affect the lower part of the body with damp-heat descending, the treatment focuses on detoxification, eliminating dampness, and clearing and promoting the lower jiao, and a self-made
Sanling Decoction
(三苓汤) is used. For cases with cold and dampness accumulating and toxins, the treatment emphasizes on warming
yang
, supplementing
qi
, and detoxification while eliminating dampness, and a self-made
Sanshen Decoction
(三参汤) is prescribed.
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