摘要
外阴硬化性苔藓是以外阴瘙痒剧烈难忍为主要临床症状的妇科难治性疾病,近年来发病率逐渐升高,且极易复发,病情缠绵难愈。王秀霞教授是黑龙江中医药大学博士研究生导师,全国第三、四批老中医药专家学术经验继承工作指导老师,从事中医妇科教学、科研及临床工作50余载,擅长诊治妇科疑难杂症,尤其对外阴硬化性苔藓有独到见解。王老临证坚持治病求本和整体与局部兼顾的原则,认为本病当从虚、实两方面论治,内治以补益肝肾、清热利湿、祛风止痒为大法,并自拟白斑1号、白斑2号方进行外阴坐浴,联合胎盘多肽局部封闭、尤靖安外涂、外阴部红光照射等中西医结合治疗,临床疗效显著。本文从病因病机、辨证方法、用药特色、典型案例等方面深度剖析王秀霞教授诊治外阴硬化性苔藓的经验,以为此类患者的治疗提供更多借鉴。
Lichen sclerosus of vulva is a difficult gynecologic disease characterized by severe vulvar itching.The incidence rate has gradually increased in recent years,and relapsed easily,there is no cure method at present.Professor WANG Xiuxia is a doctoral supervisor of Heilongjiang University of Traditional Chinese Medicine and guidance teachers for academic experience inheritance of the third and fourth groups of TCM experts in China.She has been engaged in gynecology teaching,scientific research and clinical work for more than 50 years and she is good at diagnosis and treatment of gynecological complications,especially for vulvar lichen sclerosus.She had unique insights of it.Adhering to the principle of seeking the root of the disease and giving consideration to both the whole and the part,Professor WANG thinks this disease should be treated from 2 aspects deficiency and excess.She put forward the idea of internal treatment to nourish the liver and kidney,clearing away heat and removing dampness,dispelling wind and relieving itching,and made leukoplakia 1,leukoplakia 2 formula by herself for vulva hip bath,combined with local closure of placental polypeptide,interferon for external use,red light irradiation and other integrated traditional Chinese and Western Medicine,and the clinical effect is remarkable.Professor WANG Xiuxia′s experience in the diagnosis and treatment of vulvar lichen sclerosis was deeply analyzed from the aspects of etiology and pathogenesis,differentiation of symptoms and signs,medication characteristics and typical cases in this paper,so as to provide more references for the treatment of such patients.
作者
何慧
王秀霞
张多加
HE Hui;WANG Xiuxia;ZHANG Duojia(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《世界中医药》
CAS
2021年第3期500-503,共4页
World Chinese Medicine
基金
黑龙江省中医临床优秀人才项目。
关键词
外阴硬化性苔藓
阴痒
辨证论治
坐浴
白斑1号
白斑2号
胎盘多肽
中西医结合
经验
Lichen sclerosus of vulva
Pruritus vulvae
Syndrome differentiation and treatment
Sitz bath
leukoplakia 1
Leukoplakia 2
Placental peptide
Combination of traditional Chinese and Western Medicine
Experience
