冯宪章运用龙胆泻肝汤治疗皮肤病经验
Feng Xian-zhang's Experience of Treating Skin Diseases with Gentian Liver-Draining Decoction
DOI:10.16367/j.issn.1003-5028.2021.02.0049
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1.河南中医药大学第一附属医院,河南 郑州 450001
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宋群先. 冯宪章运用龙胆泻肝汤治疗皮肤病经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.02.0049
SONG Qun-xian. Feng Xian-zhang's Experience of Treating Skin Diseases with Gentian Liver-Draining Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.02.0049
宋群先. 冯宪章运用龙胆泻肝汤治疗皮肤病经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.02.0049 DOI:
SONG Qun-xian. Feng Xian-zhang's Experience of Treating Skin Diseases with Gentian Liver-Draining Decoction[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.02.0049 DOI:
冯宪章教授擅用中医四诊八纲、辨证与辨病相结合,内治与外治相结合的学术思想指导临床,治疗皮肤科的常见病和疑难杂症,疗效颇佳。龙胆泻肝汤具有泻肝胆实火、清下焦湿热的功效,主治肝胆实火上炎证或肝胆湿热下注证。冯教授认为,带状疱疹病机为虚、瘀、湿、热、毒,病性为本虚标实,急性期方选龙胆泻肝汤加减;后期则加用益气扶正的药物。湿疹病机与湿、热、虚、瘀有关,急性湿疹以湿热为主,亚急性湿疹以脾虚湿蕴为主,慢性湿疹以血虚风燥、血瘀为主,热重于湿型以龙胆泻肝汤和五味消毒饮加减;湿重于热型以龙胆泻肝汤和除湿胃苓汤加减。皮肤瘙痒症的病因病机为风、湿、热、燥,治以清热除风止痒、清热除湿止痒、滋阴润燥止痒,方选龙胆泻肝汤加祛风止痒药物。除此之外,冯教授将龙胆泻肝汤加减运用于接触性皮炎、玫瑰痤疮、神经性皮炎、结节性红斑、多形红斑、足癣感染、寻常型天疱疮等多种皮肤病辨证为湿热型者,均可取得较好的临床疗效。
Professor Feng Xian-zhang is good at using the academic ideas of four examinations and eight principles of TCM, the combination of syndrome differentiation and disease differentiation, and the combination of internal and external treatment to guide clinical treatment.He has always achieved good efficacies in treating a variety of common skin diseases and complicated diseases.Gentian Liver-Draining Decoction has the effect of purging liver and gallbladder excess fire and clearing dampness and heat of lower energizer.It is mainly used to treat the syndrome of up-flaming of liver and gallbladder excess fire or the syndrome of liver and gallbladder dampness pouring down.Professor Feng believes that the pathogenesis of herpes zoster is deficiency, blood stasis, dampness, heat and toxin.The nature of the disease is deficiency as primary and excess as secondary.In the acute stage, Modified Gentian Liver-Draining Decoction is often selected.In the later stage, the medicinals for replenishing qi and strengthening healthy qi are often added.The pathogenesis of eczema is dampness, heat, deficiency and blood stasis.The acute eczema is mainly manifested as dampness heat, while the subacute eczema is mainly manifested as spleen deficiency and dampness accumulation, the chronic eczema is mainly manifested as blood deficiency, wind dryness.If heat is more severe than dampness, Gentian Liver-Draining Decoction, and Modified Five Ingredients Toxin-Removing Beverage can be used.If dampness is more severe than heat, Gentian Liver-Draining Decoction, and Modified Stomach-Calming Poria Decoction for removing dampness can be used.The etiology and pathogenesis of skin pruritus include wind, dampness, heat and dryness.The treatment methods include relieving itching by clearing away heat and eliminating wind, or clearing away heat and eliminating dampness, or nourishing yin and moistening dryness, so Gentian Liver-Draining Decoction plus the medicinals for removing wind and relieving itching can be used.In addition, Professor Feng has applied Gentian Liver-Draining Decoction to contact dermatitis, rosacea, neurodermatitis, erythema nodosum, erythema multiforme, tinea pedis infection, pemphigus vulgaris and other skin diseases with dampness-heat syndrome, and always achieved good clinical efficacies.
皮肤病龙胆泻肝汤冯宪章
skin diseasesGentian Liver-Draining DecoctionFeng Xian-zhang
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