基于络病学说探讨过敏性紫癜的治疗及藤类药物的应用

Discussion on the treatment of allergic purpura and the application of vine drugs based on the theory of collateral disease

关键词:  过敏性紫癜  络病学说  络脉  藤类药物

Key words:  henoch schonlein purpura  collateral disease theory  branches of channel  rattan drug

摘要:

过敏性紫癜是全身系统性小血管炎，一般预后良好，仍有部分患者出现肾脏损伤，危害儿童的身心发展。络脉纵横交织，网布周身，输送营卫气血精微，营养脏腑，但也是邪气入侵的通道。络脉理论以广泛的运用到心血管系统、内分泌系统、免疫系统和血液循环系统等疾病的诊治中，研究发现其与过敏性紫癜的发病机制密切相关。基于络病学说，从络脉角度与现代医学、药理学相结合，探讨过敏性紫癜的发生、发展、转归。同时将络病学说与“热、虚、瘀”病机相结合，将藤类药物灵活运用至过敏性紫癜的临床治疗中，为中医药治疗本病提供切实有效的临床经验。

Abstract:

Henoch schonlein purpura is a systemic small vasculitis disease with a good prognosis. Some patients still have renal injury,which endangers children's physical and mental development. The collaterals are interwoven vertically and horizontally,and the net is distributed all over the body. It transports the essence of blood and qi of the camp and guards,nourishes the viscera,but it is also a channel for pathogenic qi to invade. Collateral theory is widely used in the diagnosis and treatment of cardiovascular system,endocrine system,immune system and blood circulation system. It is found that it is closely related to the pathogenesis of henoch schonlein purpura. Based on the collateral disease theory,this paper discusses the occurrence,development and prognosis of henoch schonlein purpura from the perspective of collateral vessels,modern medicine and pharmacology. At the same time,combine the collateral disease theory with the pathogenesis of "heat,deficiency and blood stasis",and flexibly apply rattan drugs to the clinical treatment of henoch schonlein purpura,so as to provide practical and effective clinical experience for the treatment of this disease with traditional Chinese medicine.