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范瑞强教授从风与湿论治湿疹

Clinical experience of Professor Fan Ruiqiang in treating eczema from wind and dampness theory

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【作者】 叶韵婷范瑞强陈信生袁娟娜吴元胜

【Author】 YE Yunting;FAN Ruiqiang;CHEN Xinsheng;YUAN Juanna;WU Yuansheng;The Second Clinical Medical College, Guangzhou University of Chinese Medicine;Department of Dermatology, Guangdong Provincial Hospital of Chinese Medicine;

【通讯作者】 吴元胜;

【机构】 广州中医药大学第二临床医学院广东省中医院皮肤科

【摘要】 湿疹是临床最常见的皮肤病之一,本文介绍了范瑞强教授诊治湿疹的经验。范瑞强教授认为,风与湿是湿疹的主要致病因素。范瑞强教授丰富了风与湿致病的内涵,指出风性开泄为外界的有害之虫、不净之物的入侵打开了门路,同时湿性黏滞使致病物质滞于肌表、充于腠理,两者共同作用使卫表受侵而诱发湿疹。范瑞强教授指出风与湿两者杂糅,相互搏结、交争,进一步激化,随后或化热,或化火,或伤血,或伤阴,形成各种变证。本病早期、进展期常见证型有风湿困表、湿热毒盛,慢性期常见证型有脾虚湿蕴、血虚风燥、阴虚风燥。治疗方面应在辨证论治的基础上注重消风除湿之法,综合中药内服、中医外治、西医治疗等不同手段,可获得良好效果。

【Abstract】 This paper introduces Professor Fan Ruiqiang’s experience in curing eczema, which is one of the most common skin disease. Professor Fan Ruiqiang puts forward that eczema is a disease caused by the combination of wind and dampness. Professor Fan Ruiqiang enriches the connotation of wind and dampness, and points out that the release of wind open the way for the invasion of harmful insects and unclean things from the outside. At the same time, the dampness viscosity makes the pathogenic substances stagnant on the muscle surface and fill the skin. Both of them work together to cause the invasion of the guard surface and induce eczema. Professor Fan Ruiqiang points out that wind and dampness are mixed, and they fight and compete with each other, which further intensifies, and then either heat, fire, blood or yin, forming various syndrome changes. The common syndrome types in the early and progressive stage of the disease are rheumatism trapped in the surface and excessive damp heat and toxin. The common syndrome types in the chronic stage are spleen deficiency and dampness accumulation, blood deficiency and wind dryness, yin deficiency and wind dryness. In terms of treatment, we should pay attention to the method of eliminating wind and dehumidification on the basis of syndrome differentiation and treatment, and integrate different means such as oral administration of Chinese medicine, external treatment of Chinese medicine and Western medicine, so as to obtain good results.

【基金】 广东省第三批名中医师承项目——范瑞强广东省名中医传承工作室
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2021年30期
  • 【分类号】R275.9;R249
  • 【被引频次】1
  • 【下载频次】533
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