摘要
糖尿病性皮肤瘙痒症是糖尿病常见的并发症,多见于老年人,严重威胁着患者的身心健康,降低了患者的生活质量,中医药治疗糖尿病性皮肤瘙痒症具有独特优势。方朝晖教授经多年的临床实践经验,总结出本病虚证以血虚肝旺为主,实证以湿热蕴藉为主,瘀血贯穿于任何阶段。治疗上,强调辨证论治,不管何种证型,均配伍当归和生地,内服药物还根据瘙痒严重部位和发作时间加用相关药物,上半身瘙痒严重者加羌活、菊花;下半身瘙痒严重者加川牛膝、独活;全身皮肤泛发者加淡防风、浮萍;夜间瘙痒严重者加酸枣仁、生龙骨。外洗基础方采用祛湿止痒、活血化瘀之剂,中药内服外用相结合,另外,还告知患者注意生活调护,临床疗效显著。
Diabetic skin pruritus is a common complication of diabetes.It is commonly seen in the elderly.It seriously threatens the physical and mental health of patients and reduces the quality of life of patients.Chinese medicine has unique advantages in the treatment of diabetic pruritus.Professor FANG Zhaohui,after years of clinical experience,summed up that the deficiency syndrome of this disease is mainly blood deficiency and liver hyperactivity,the empirical evidence is mainly damp heat accumulation,and blood stasis runs through any stage.In terms of treatment,it emphasizes syndrome differentiation and treatment.No matter what syndrome type,it is compatible with Angelica sinensis and raw land.Oral drugs are also added with relevant drugs according to the severe itching part and attack time.Those with severe upper body itching are added with notopterygium and chrysanthemum;For severe lower body itching,add Achyranthes bidentata and Angelica pubescens;For those with generalized skin,add light windbreak and duckweed;Add sour jujube kernel and raw keel in case of severe itching at night.The external washing basic formula adopts the agents of dispelling dampness and relieving itching,promoting blood circulation and removing blood stasis,and the combination of oral and external use of traditional Chinese medicine.In addition,it also tells patients to pay attention to life care,and the clinical effect is remarkable.
作者
汪四海
方朝晖
张竣玮
赵进东
熊国慧
于东东
方舟
毕正
WANG Sihai;FANG Zhaohui;ZHANG Junwei;ZHAO Jindong;XIONG Guohui;YU Dongdong;FANG Zhou;BI Zheng(The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;Anhui Institute of Traditional Chinese Medicine,Institute of Diabetes Prevention and Treatment,Hefei 230031,China;Graduate School of Anhui University of Traditional Chinese Medicine,Hefei 230038,China)
出处
《陕西中医药大学学报》
2021年第6期32-36,共5页
Journal of Shaanxi University of Chinese Medicine
基金
国家自然科学基金项目(81774286,81573944)
国家中医药管理局中医临床基地科研专项(JDZX2015001)
国家中医药管理局国家基本公共卫生服务项目(20131012)
安徽省高校自然科学研究项目(KJ2018ZD029)
方朝晖安徽省名中医工作室(2019-8-515)。
关键词
糖尿病
皮肤瘙痒症
血虚肝旺
湿热
瘀血
当归
生地
方朝晖
风瘙痒
Diabetes mellitus
Skin pruritus
Blood deficiency and liver hyperactivity
Damp heat
Blood stasis
Chinses angelica
Dried rehmannia root
FANG Zhaohui
Wind pruritus
