叶天士透风渗湿对治疗急性湿疹的指导作用

发布时间：2018-06-07 02:19

本文选题：透风渗湿 + 急性湿疹　；参考：《中国中医基础医学杂志》2017年01期

【摘要】：以叶天士《温热论》"或透风于热外,或渗湿于热下"论述为主线,按照肺肝脾同病、风湿热搏结的病变机理,依据临床症状将急性湿疹分解为风邪郁表、热结三焦、湿中伏火3个证型,依据证型特征分别确定透风肃肺、清热凉肝、渗湿健脾3个治则;依据治则要求以辛凉轻宣之剂透风于外,使在表之风邪不得助长内热;以苦降寒凉之剂清热于中,使郁结之邪火不得伤津动血;以甘淡利水之剂渗湿于下,使停蓄之水湿不得郁蒸蕴结,同时强调透风、清热、渗湿并用,辅之以凉血散血、解毒消疹,结合临床实践探究急性湿疹中医辨证论治。
[Abstract]:Based on the exposition of Ye Tianshi's Theory of temperature and Heat, or permeating the wind outside the heat or infiltrating moisture under the heat as the main line, according to the pathological mechanism of the same disease of lung, liver and spleen and rheumatic heat knot, according to the clinical symptoms, the acute eczema was decomposed into the wind evil tulips and the heat knot trifocal. According to the characteristics of the three syndrome types, the three treatment principles of purging the lung, clearing away heat and cooling the liver, strengthening the spleen by the infiltration of dampness and dampness are determined respectively, and according to the principle of treatment, it is required to pass through the air with the agent of Xin Liang and light propaganda, so that the wind evil on the surface can not promote the internal heat. Using the agent of bitter cooling and cooling to clear heat in the middle, so that the evil fire of the stagnation can not injure the blood of Jin and move the blood; by using the agent of the sweet and light water to seep the water into the bottom, so that the dampness of the stop and storing water does not accumulate, and at the same time emphasizing the combination of ventilation, heat clearing, and dampness, supplemented by cooling the blood and dispersing the blood, Detoxification and exanthema, combined with clinical practice to explore acute eczema syndrome differentiation treatment.
【作者单位】：甘肃中医药大学基础医学院;西安交通大学医学部药学院;
【分类号】：R275.9

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