1例中药治疗湿疹案例的思考
Title in English: Thinking of A Case of Eczema Treated with Chinese Traditional Medicine
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1.福州市博医汇中医门诊部,福州 350000
2.福建中医药大学中医证研究基地,福州 350122
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王志斌. 1例中药治疗湿疹案例的思考[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279662&Fpath=home&index=0
WANG Zhibin. Title in English: Thinking of A Case of Eczema Treated with Chinese Traditional Medicine[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279662&Fpath=home&index=0
王志斌. 1例中药治疗湿疹案例的思考[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279662&Fpath=home&index=0 DOI:
WANG Zhibin. Title in English: Thinking of A Case of Eczema Treated with Chinese Traditional Medicine[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279662&Fpath=home&index=0 DOI:
病史摘要,2,患者杨某某,男,67岁,2023年2月26日因“全身红斑丘疹脱屑反复发作6月余,加重1周”就诊。患者6月余前无明显诱因出现全身散在红斑、丘疹,伴瘙痒,起初就诊于当地社区医院,社区医院医师拟诊断为“湿疹”后,予西药治疗后(具体不详),皮疹逐渐消退,但此后饮食不慎皮疹仍反复发作。7天前自诉因食虾蟹后全身再次泛发红色丘疹,伴剧烈瘙痒,自服“西替利嗪,每天1次”未见改善,遂来我院求诊。辰下:全身丘疹,散在泛发,腰部为主,剧烈瘙痒,皮肤暗沉,干燥结痂,无伴脱屑,无有渗液,平素畏寒,肢冷无汗,时有干咳,腰部酸胀,纳寐尚可,二便均调,口无干苦,余无不适,舌淡暗胖,苔白稍腻,脉浮而滑。中医诊断 湿疮(寒湿束表证)。西医诊断 湿疹。干预措施 以疏风养血,散寒祛湿为治法,方选败毒散加减。疗效转归 好转。
Summary of case history, Patient Yang, male, 67 years old, sought medical attention on February 26, 2023 due to repeated episodes of systemic erythema and papule peeling for over 6 months, which worsened for 1 week. The patient developed scattered erythema, papules, and itching throughout the body without any obvious cause more than 6 months ago. Initially, they sought medical attention from a local community hospital, where doctors planned to diagnose "eczema" and treated it with Western medicine (specific details are unknown). The rash gradually subsided, but after eating carelessly, the rash continued to recur. Seven days ago, he reported that after eating shrimp and crabs, his whole body developed red papules again, accompanied by severe itching. However, he did not improve after taking "cetirizine 1 # qd". Therefore, he came to my hospital for consultation. Chenxia: Whole body papules, scattered and widespread, mainly in the waist, severe itching, dark and heavy skin, dry and scabbed, without accompanied desquamation, no exudate, normal chills, cold limbs without sweat, occasional dry cough, waist soreness and bloating, moderate sleep intake, both bowel movements are adjusted, the mouth is not dry or bitter, there is no discomfort, the tongue is light, dark and fat, the fur is white and slightly greasy, and the pulse is floating and smooth.,TCM diagnosis, eczema ( Cold dampness bundle syndrome ),Western medicine diagnosis, eczema,Therapeutic methods, The treatment method is to expel wind and nourish blood, dispel cold and dampness, and select the modified Baidu Powder.,Clinical outcomes, Improvement.
湿疹荆防败毒散
eczemaBaidu Powder
秦爽.湿疹湿证的临床观察及尿液代谢组学研究[D].广州:广州中医药大学,2021.
HON K L, TSANG Y C, PONG N H, et al. Correlations among steroid fear, acceptability, usage frequency, quality of life and disease severity in childhood eczema [J]. The Journal of dermatological treatment, 2015, 26(5): 418-25.
吕佳守.李灿东教授运用消风散加减治疗湿疹经验[J].福建中医药,2020,51(1):65-66.
李晓元.基于Meta分析与网络药理学探讨清热除湿汤治疗湿热型湿疹的疗效和机制[D].武汉:湖北中医药大学,2022.
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