银屑病中医体质与辨证分型的相关性探讨

发布时间：2018-08-31 18:14

【摘要】：目的:探讨银屑病中医体质与辨证分型的相关性。方法:根据医学界银屑病的诊断标准和纳入依据从医院于2011年3月—2016年8月收治的众多银屑病患者中抽取108例作为本次试验研究对象,由医院医护人员以问卷调查的方式对该批患者进行中医体质与辨证分型,将其分别分为血虚风燥证组、血热风盛证组和血瘀肌肤证组,而后就其分型的相关性进行全面分析。结果:经系统性和深入性分析后,发现银屑病患者多以阴虚质为主要中医体质类型,以血热风盛证为临床主要中医症候,在此之中,血热风盛证患者中阴虚体质以及血虚风燥证患者中气虚体质和血瘀肌肤证患者中瘀血体质均为敏感体质。结论:通常情况下,临床上以清热凉血祛风为治疗银屑病血热风盛证患者的主要方法,除此之外,适当性地对其辅以滋阴补气的保健品也很有必要;以活血祛瘀、舒筋活络为治疗银屑病血瘀肌肤证患者的主要方法;以益气补血治疗银屑病血虚风燥证患者的主要方法。在对银屑病患者进行分型的前提下对其予以针对性的治疗可进一步提高其临床治疗总有效率,值得借鉴和推广。
[Abstract]:Objective: to explore the correlation between TCM physique and syndrome differentiation in psoriasis. Methods: according to the diagnostic criteria and inclusion criteria of psoriasis in the medical field, 108 patients with psoriasis were selected from the hospital from March 2011 to August 2016 as the subjects of this study. By the way of questionnaire investigation, the patients were divided into three groups: blood deficiency and wind dryness syndrome group, blood heat wind Sheng syndrome group and blood stasis skin syndrome group. Results: after systematic and in-depth analysis, it was found that most of the psoriasis patients had yin deficiency as the main type of TCM constitution, and the syndrome of blood heat and wind as the main syndromes of TCM. The constitution of Yin deficiency in patients with blood heat and wind, Qi deficiency in patients with wind dryness of blood deficiency, and blood stasis in skin stasis were sensitive constitutions. Conclusion: in general, clearing heat, cooling blood and dispelling wind is the main method to treat psoriatic patients with syndrome of blood heat and wind. In addition, it is also necessary to properly supplement the health products of nourishing yin and tonifying qi, promoting blood circulation, removing blood stasis, promoting blood circulation, removing blood stasis, promoting blood circulation, removing blood stasis, promoting blood circulation, removing blood stasis, promoting blood circulation and removing blood stasis. The main method of treating psoriasis with blood stasis skin syndrome is to soothe the blood and activate collaterals, and the main method to treat psoriasis patients with blood deficiency and wind dryness syndrome is to replenish qi and nourish blood. On the premise of classifying psoriasis patients, the targeted treatment can further improve the total effective rate of clinical treatment, which is worthy of reference and promotion.
【作者单位】：河南大学淮河医院皮肤科;
【基金】：河南省中医药科技专项重点项目(2014ZY01009)
【分类号】：R275.9

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