蚕沙饮合银翘散治疗荨麻疹性血管炎验案一则
A Case of Urticarial Vasculitis Treated by Cansha Drink and Yinqiao Powder
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1.黑龙江中医药大学研究生院,哈尔滨 150040
2.黑龙江中医药大学附属第一医院皮肤科,哈尔滨 150040
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林丽, 王玉玺. 蚕沙饮合银翘散治疗荨麻疹性血管炎验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31690397&Fpath=home&index=0
LIN Li, WANG Yuxi. A Case of Urticarial Vasculitis Treated by Cansha Drink and Yinqiao Powder[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31690397&Fpath=home&index=0
林丽, 王玉玺. 蚕沙饮合银翘散治疗荨麻疹性血管炎验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31690397&Fpath=home&index=0 DOI:
LIN Li, WANG Yuxi. A Case of Urticarial Vasculitis Treated by Cansha Drink and Yinqiao Powder[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31690397&Fpath=home&index=0 DOI:
病史摘要,2,患者梁某,男性,50岁,全身皮肤泛发大片水肿性红斑2月余,于汗出湿衣后发,手足心热,大便日1行,粘马桶,舌淡红薄白苔,脉沉缓。中医诊断 瘾疹(湿热内蕴,兼风热外袭)西医诊断 荨麻疹性血管炎干预措施 中药汤剂蚕沙饮合银翘散口服1月余。方药组成为荆芥10 g,薄荷8 g,竹叶10 g,银花30 g,连翘15 g,黄芩15 g,丹参30 g,生石膏30 g,桑白皮15 g,蚕沙30 g(包煎),蚤休20 g,蝉衣15 g,僵蚕15 g,牛蒡子15 g,桔梗10 g,芦根20 g,淡豆豉15 g,甘草6g。全方重用风药,对犯肺卫之邪宣而发之,对困脾之湿热散而利之,诸药合用共奏清热利湿、祛风止痒之功。疗效转归 患者皮损症状改善,生活质量明显提高。
Summary of case history ,Mr. CHEN, male, 63 years old, for more than 2 months, the whole body has developed large edematous erythema, sweating and wet clothes at the beginning, fever in hands and feet, 1 line of stools a day, sticky toilet, pale red tongue with thin white coating, slow pulse.,TCM diagnosis ,Urticaria (interior retention of damp-heat, exterior attack of wind-heat),Western medicine diagnosis ,Urticarial vasculitis,Therapeutic methods ,Oral Silkworm Sand Drink and Yinqiao Powder for more than 1 month. The formula consists of Schizonepeta tenuifolia 10 g, mint 8 g, bamboo leaf 10 g, honeysuckle 30 g, forsythia 15 g, scutellaria baicalensis 15 g, salvia miltiorrhiza 30 g, raw gypsum 30 g, white mulberry root-bark 15 g, silkworm excrement 30 g (decoction), manyleaf paris rhizome 20 g, periostracum cicadae 15 g, bombyx batryticatus 15 g, achene of great burdock 15 g, platycodon grandiflorum 10 g, rhizoma phragmitis 20 g, fermented soybean 15 g, ural licorice roots 6 g. The whole prescription focuses on the use of wind herbs, which can be used to promote the pathogens that invade the lung and Wei, and to dissipate the dampness and heat trapped in the spleen.,Clinical outcomes ,The patient's symptoms improved and the quality of life improved significantly.
荨麻疹性血管炎经验王玉玺
Urticarial VasculitisExperienceWANG Yuxi
王世宁,安国芝.慢性荨麻疹自身免疫机制研究进展[J].中国中西医结合皮肤性病学杂志,2019,18(6):655-658.
刘海波,桑红.补体系统在荨麻疹性血管炎诊疗及预后中的价值[J].中华检验医学杂志,2020,43(9):874-877.
占承志,司成,刘细荣.荨麻疹性血管炎临床表现和组织病理探讨[J].皮肤病与性病,2018,40(3):369-371.
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