1.首都医科大学附属北京中医医院,北京市东城区美术馆后街23号,100010
2.北京中医药大学
3.北京中医药大学东直门医院
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收稿:2025-06-30,
修回:2025-08-08,
纸质出版:2025-11-17
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林胜,胡聿昕,李昀泽等.“燥湿同病”论治慢性斑块型银屑病[J].中医杂志,2025,66(22):2388-2392.
LIN Sheng,HU Yuxin,LI Yunze,et al.Treating Chronic Plaque Psoriasis Based on the Theory of "Disease Involving both Dryness and Dampness"[J].Journal of Traditional Chinese Medicine,2025,66(22):2388-2392.
林胜,胡聿昕,李昀泽等.“燥湿同病”论治慢性斑块型银屑病[J].中医杂志,2025,66(22):2388-2392. DOI: 10.13288/j.11-2166/r.2025.22.016.
LIN Sheng,HU Yuxin,LI Yunze,et al.Treating Chronic Plaque Psoriasis Based on the Theory of "Disease Involving both Dryness and Dampness"[J].Journal of Traditional Chinese Medicine,2025,66(22):2388-2392. DOI: 10.13288/j.11-2166/r.2025.22.016.
从“燥湿同病”角度阐释慢性斑块型银屑病“燥湿互济为发病之始、燥湿同化致病程缠绵、燥湿化浊成伏病之根”的三期动态病机演变规律。提出疾病进展期湿借燥势弥漫浸润,燥因湿性积聚凝结,治当化湿润燥,以截断燥湿互济之势,方用养血解毒汤加减;静止期燥湿互化不休,局部皮损形成“阳郁-阴伤-络阻”胶着之态,治当通阳开玄府、养阴润络脉,以逆转病势,方用麻黄附子细辛汤合养血润肤饮、四藤饮加减;消退期痰瘀浊毒伏匿玄府络脉,酿成复发窠囊,治当理气活血,以破除伏邪,方用理脾方合活血散瘀汤加减。
Based on the theory of "disease involving both dryness and dampness", this paper systematically elucidates the three-stage dynamic pathogenesis of chronic plaque psoriasis, mutually reinforcing interaction between dryness and dampness initiating the disease co-transformation perpetuating the disease, and turbid toxins forming the latent root. In the progressive stage, dampness exploits dryness to spread and infiltrate, while dryness accumulates and congeals due to dampness, for which it is suggested to resolve dampness and moisten dryness, thereby interrupting their mutual reinforcement, with the use of modified
Yangxue Jiedu Decoction
(养血解毒汤). In th
e static stage, incessant mutual transformation between dryness and dampness forms an entrenched state of "
yang
constraint-
yin
impairment-collateral obstruction" in local lesions; treatment should be unblocking
yang
to open sweat pores, nourishing
yin
to moisten collaterals, with the use of modified
Mahuang Fuzi Xixin Decoction
(麻黄附子细辛汤) combined with
Yangxue Runfu Beverage
(养血润肤饮)and
Siteng Beverage
(四藤饮) to reverse the disease course. In the resolving stage, phlegm, stasis and turbid toxins lurk within collaterals and sweat pores, forming latent foci that predispose to recurrence; treatment should focus on regulating
qi
and activating blood to expel latent pathogens, using modified
Lipi Formula
(理脾方) combined with
Huoxue Sanyu Decoction
(活血散瘀汤).
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