“诸痛痒疮,皆属于心”——从心论治对湿疹诊治的临床意义

发布时间：2018-05-16 23:15

本文选题：湿疹 + 从心论治　；参考：《中国中医基础医学杂志》2017年05期

【摘要】：湿疹是由多种内外因素引起的一种具有明显渗出倾向的皮肤炎症反应,属于中医"湿疮""浸淫疮"范畴,病因多归为湿邪、热邪、风邪等,病机多责于脾失健运、湿热内生。从心论治湿疹的思想源于《素问·至真要大论》中"诸痛痒疮,皆属于心"的记载,"主血脉""主心神"是心的重要功能,从心论治湿疹需从"血"与"神"两方面探讨。对于湿疹的治疗重视脾的同时还要兼顾"心",以清泻心火、调养心神、濡养血脉为方法,重视心理精神因素的作用,以达到促进疗效、提高患者生活质量的目的。
[Abstract]:Eczema is a skin inflammatory reaction with obvious exudation tendency caused by many internal and external factors. It belongs to the category of "wet sores" and "soaking sores" in traditional Chinese medicine. The etiology is mostly classified as dampness evil, heat evil, wind evil, etc. The thought of treating eczema from the heart originated from the record of "all pain and itch sore, belong to the heart" in the book "on the essence to the truth". The "main blood vessel", "the master heart mind" is the important function of the heart, and the treatment of eczema from the heart should be discussed from the two aspects of "blood" and "spirit". For the treatment of eczema, attention should be paid to the spleen and "heart", to clear away the heart and fire, to nourish the heart and mind, to nourish the blood vessels, and to attach importance to the role of psychological and spiritual factors in order to promote the curative effect and improve the quality of life of the patients.
【作者单位】：内蒙古巴彦淖尔市临河区妇幼保健院皮肤科;华亭县中医院皮肤科;中国中医科学院中医临床基础医学研究所;
【基金】：国家自然科学基金青年基金项目(81403501)-“喜胜忧”调节抑郁症患者负性认知偏向的神经机制研究北京市自然科学基金预探索项目(7163236)-“喜”“忧”激活“五态人”情志体验的脑电差异研究
【分类号】：R275.9

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