摘要
现代医家大多将皮肤瘙痒病的病位归之于肺,责之于风、湿、热、瘀等。然早在汉代,张仲景便从六经'三阳'的角度辨治:其在太阳,其位最表,故宜汗之散之,可选用桂枝麻黄各半汤、桂枝二麻黄一汤、桂枝二越婢一汤、麻黄加术汤、大青龙汤等治之;其在阳明,病为在里,故宜清之利之,可选用白虎汤、白虎加人参汤、竹叶石膏汤、皮炎汤等治之;其在少阳,病为半表半里,故宜和之解之,可选用小柴胡汤、柴胡桂枝汤、柴胡桂枝干姜汤等治之。然而,临床病证往往错综复杂,治疗时不可拘于一经,需灵活辨治,方可收到桴鼓之效。
Most modern doctors attribute the disease location of skin itching to the lungs,and blame it on wind,dampness,heat and blood stasis,etc.However,as early as the Han Dynasty,Zhang Zhongjing differentiated and treated it from the perspective of'Sanyang'of six meridians.In Taiyang,the pathogenic location of the disease is the most superficial,so it is suitable to disperse the sweat.It can be treated with Guizhi Mahuang Geban Decoction,Guizhi Er Mahuang Yi Decoction,Guizhi Er Yuebi Yi Decoction,Mahuang Jiazhu Decoction,Daqinglong Decoction,etc.In Yangming,the pathogenic location of the disease is in the interior,so it is suitable to use clearing method.Baihu Decoction,Baihu Jia Renshen Decoction,Zhuye Shigao Decoction and Piyan Decoction and so on can be used to treat it.In Shaoyang,the pathogenic location of the disease is between the surface and the interior,so it is appropriate to use reconciling method.Xiaochaihu Decoction,Chaihu Guizhi Decoction and Chaihu Guizhi Ganjiang Decoction can be used to treat it.However,clinical symptoms and signs are often complex,and can not be confined to one of the meridians in the treatment,which requires flexible diagnosis and treatment before good results can be achieved.
作者
浦琼华
廖华君
张红陶
PU Qionghua;LIAO Huajun;ZHANG Hongtao(The People's Hospital of Wuxi Xishan,Wuxi Jiangsu China 214000;Chinese Medicine School,Southern Medical University,Guangzhou Guangdong China 510515;The People's Hospital of Liyang,Liyang Jiangsu China 213300)
出处
《中医学报》
CAS
2019年第9期1840-1843,共4页
Acta Chinese Medicine
关键词
皮肤瘙痒
六经
太阳
阳明
少阳
汗法
清利之法
和解之法
skin itching
six meridians
Taiyang
Yangming
Shaoyang
sweat method
clearing method
reconciling method
