牛阳“宣通气血法”治疗急性湿疹的临床经验
NIU Yang’S Clinical Experience in Treating Acute Eczema Based on “The Method of Dispersing and Moving Qi and Blood“
DOI:10.19945/j.cnki.issn.1006-3250.2021.05.035
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1.山东中医药大学中医学院,济南 250355
2.宁夏医科大学中医学院,银川 750004
3.宁夏医科大学回医药现代化省部共建教育部重点实验室,银川 750004
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王晓翠, 牛阳. 牛阳“宣通气血法”治疗急性湿疹的临床经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.05.035
Xiao-cui WANG, Yang NIU. NIU Yang’S Clinical Experience in Treating Acute Eczema Based on “The Method of Dispersing and Moving Qi and Blood“[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.05.035
王晓翠, 牛阳. 牛阳“宣通气血法”治疗急性湿疹的临床经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.05.035 DOI:
Xiao-cui WANG, Yang NIU. NIU Yang’S Clinical Experience in Treating Acute Eczema Based on “The Method of Dispersing and Moving Qi and Blood“[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19945/j.cnki.issn.1006-3250.2021.05.035 DOI:
中医药是治疗急性湿疹的主要手段。牛阳教授受叶天士医案启发,立足于气血理论,认为饮食、气候因素造成的风湿热邪久积体内、酝酿成毒而导致的“气血壅遏”是本病的病因病机,具体表现为风湿热蕴结三焦气分和湿热毒郁于营血分。本病属于标本俱实之证,气血壅遏、阴阳失调是为本,风、湿、热、毒、瘀、燥诸邪客于肌腠是为标,故临证主张重在祛邪,常用祛风燥湿、清热解毒之法,在此基础上辅以宣通气血,以调气为主、气血同治,其中调气旨在使用辛温发散、轻苦微辛的流动之品以通阳、宣肺、疏利三焦气机,治血意为使用辛温质润、凉血散瘀、通利二便的血分药以清除营血分湿热、热毒而通其瘀滞、透热转气。总体用药燥润相济、寒温同施、刚柔并进,使气血和则阴阳和,邪气无所隐藏而病愈。
Traditional Chinese medicine is the main means of treating acute eczema.Based on the Qi-blood theory and inspired by the medical case of YE Tian-shi, NIU Yang considers that the etiology is diet and climate factors and the pathogenesis is “Qi and blood stagnation“ caused by the accumulation of wind, dampness, heat and toxin.It is showed of blocking of wind-dampness-heat in San Jiao and stagnation of dampness-heat-toxin in blood.The “Primary“ is Qi-blood stagnation and Yin-Yang imbalance, the “Secondary“ is blocking of wind, dampness, heat, toxin, blood stasis and dryness on skin.Therefore, eliminating pathogenic factors is the main treatment, such as dispelling wind and eliminating dampness, clearing away heat and detoxifying, and being supplemented by the method of dispersing and moving Qi and blood, which focuses on regulating Qi and treating Qi-blood together.The purpose of regulating Qi is to activate Yang, ventilate lung and move Qi activity of San Jiao through using the pungent-warm-divergent and light-bitter-little-pungent drugs.Treating blood is aimed at clearing and removing dampness-heat-toxin in blood by using drugs such as warm-pungent, cooling blood and dispersing blood stasis, smoothening secretion.Characteristics of prescription compatibility is dryness and moistening, cold and warm, hardness and softness, so that the balance of Qi and blood will result in the harmony of Yin and Yang, and the disease will be cured without concealment of pathogenic factor.
急性湿疹宣通气血法牛阳临床经验
Acute eczemaThe method of dispersing and moving Qi and bloodNIU YangClinical experience
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