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分期论治特应性皮炎思路探讨
张冰, 刘学伟, 宋群先, 李建伟, 沈萃萃, 王海燕
河南中医药大学第一附属医院皮肤科, 郑州 450000
摘要:
特应性皮炎属临床常见疑难皮肤病,中医认为五脏功能失调为致病关键,风、湿、热邪为主要发病因素,本文根据患者不同年龄特点,结合整体情况进行分期辨证论治探讨,婴儿期:清心火,除胎毒;儿童期:健脾利湿,补益肺气;青年及成人期:补肝肾,清湿热;老人期:平肝潜阳,补肾养心。重视内外合治,配合刮痧、火针、中药药浴、中药塌渍等治疗,临床疗效确切。
关键词:  特应性皮炎  分期论治  中医药
DOI:10.11656/j.issn.1673-9043.2022.06.09
分类号:R758.3
基金项目:国家中医药管理局全国名老中医专家传承工作室建设项目(国中医药人教发[2014]20号);河南省科技攻关计划项目(162102310179,212102311120);河南省卫生健康委中医药拔尖人才培养项目(豫卫中医函[2021]15号);河南省中医药科学研究专项课题项目(2019ZY2130,2021ZY2006);河南省中医管理局、河南省中医药文化与管理研究项目(TCM2019015,TCM2021009)。
Discussion on the treatment of atopic dermatitis by stages
ZHANG Bing, LIU Xuewei, SONG Qunxian, LI Jianwei, SHEN Cuicui, WANG Haiyan
Department of Dermatology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China
Abstract:
Atopic dermatitis is a common difficult skin disease in clinic,according to traditional Chinese medicine, the dysfunction of five internal organs is the key to the disease,and wind,dampness and heat are the important factors of the disease. According to different age characteristics,the paper combined with the overall situation to treat by stages. Atopic dermatitis in infancy:clean heart fire,in addition to remove fetal poison;Atopic dermatitis in childhood:to invigorate the spleen and dampness,replenish lung qi;Atopic dermatitis in young adults:to invigorate the liver and kidney,to clear dampness and heat;Atopic dermatitis in the elderly:to suppress hyperactive liver and subside yang,to invigorate the kidney and heart. Pay attention to combination of internal and external treatment, combined with scraping,fire needle therapy,traditional Chinese medicine bath therapy,traditional Chinese medicine hydrotherapy and other comprehensive treatment,the clinical effect is satisfactory.
Key words:  atopic dermatitis  treatment by stages  traditional Chinese medicine
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