白塞氏病同病异治的临床思考

发布时间：2018-04-19 03:02

本文选题：白塞氏病 + 通腑行气　；参考：《中国中医基础医学杂志》2017年01期

【摘要】：通过三则白塞氏病的临床验案,阐述了在白塞氏病的治疗过程中不必拘泥于张仲景甘草泻心汤清热祛湿解毒之常法,临床中辨证当灵活变通。湿热郁滞、口疮反复者不可一味清热解毒,要重视疏肝和通腑的作用,通过通腑泄浊畅气机之法以祛肝脾湿热,达到釜底抽薪的目的,并能防苦寒直折伤阴;兼见皮损红斑者,以活血化瘀通络之法贯穿治疗始终,并根据血滞程度深浅,合理选用和血行血、活血散瘀以及破血逐瘀之药;疾病后期阴伤或久服激素药物者重滋养肝肾之阴,通过潜纳妄动之相火以正本清源,异病同治,临证贵在变通。
[Abstract]:Through three clinical cases of Behcet's disease, it is expounded that it is not necessary to stick to the usual method of clearing away heat and removing dampness and detoxification by Zhang Zhongjing Glycyrrhiza Xiexin decoction in the course of treatment of Behcet's disease, and the syndrome differentiation should be flexible in clinical practice.Damp-heat stagnation, repeated aphtha should not blindly clear heat and detoxification, should pay attention to the function of soothing the liver and unblocking the Fu organs, through the method of eliminating liver and spleen dampness and heat, and can prevent the bitter cold from breaking directly into the Yin, and also to see the erythema of the skin lesions, the purpose of removing dampness and spleen dampness and heat from the liver and spleen, and preventing the bitter cold from breaking directly into the yin.The method of activating blood circulation to remove blood stasis and unblocking collaterals was used throughout the treatment, and according to the depth of blood stagnation, the drugs of blood circulation, blood circulation, blood circulation and breaking blood circulation and removing blood stasis were reasonably selected. In the latter stage of the disease, the yin of liver and kidney was renourished by those who were injured in yin or took hormone drugs for a long time.Through the potential to accept the phase of fire to clean up the source, the same treatment of different diseases, temporary syndrome is flexible.
【作者单位】：中国中医科学院望京医院;
【基金】：中国中医科学院“名医名家传承”项目(CM2014GD1011)-胡荫奇学术思想与临床经验传承研究
【分类号】：R249;R259

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