[1]谭强,肖敏,余倩颖,等.四川文氏皮科流派协定方治疗慢性湿疮临床研究*[J].陕西中医,2019,(11):1578-1581.
 TAN Qiang,XIAO Min,YU Qianying,et al.Wen’s dermatological cipher prescriptions in the treatment of chronic eczema[J].,2019,(11):1578-1581.
点击复制

四川文氏皮科流派协定方治疗慢性湿疮临床研究*

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1578-1581
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
Wen’s dermatological cipher prescriptions in the treatment of chronic eczema
文章编号:
DOI:10.3969/j.issn.10007369.2019.11.025
作者:
谭强12肖敏2余倩颖2尤雯丽3雷晴2陈明岭2△艾儒棣2
1.第四军医大学西京皮肤医院(西安 710032);2.成都中医药大学附属医院(成都610075);3.青岛大学附属医院(青岛266003)
Author(s):
TAN QiangXIAO MinYU Qianyinget al.
Department of Dermatology,Xijing Hospital,Fourth Military Medical University(Xi’an 710032)
关键词:
慢性湿疮湿热蕴肤证脾虚湿蕴证血虚风燥证文氏马齿苋汤文氏健脾除湿汤文氏润燥止痒汤
Keywords:
Key words Chronic eczemaDamp and heat storage in skin syndromeDamp storage due to spleen deficiency syndromeWind dryness due to blood deficiency syndromeWen’s Machixian decoctionWen’s spleen tonifying and damp eliminating decoctionWen’s moistening d
分类号:
R275.9
文献标志码:
A
摘要:
摘要目的:观察四川文氏皮科流派协定方治疗慢性湿疮的临床疗效。方法:将符合慢性湿疮及中医湿热蕴肤证、脾虚湿蕴证、血虚风燥证证候诊断的患者纳入观察,分别给予相应中药口服,在治疗前及治疗4周后进行皮损面积、EASI评分及瘙痒评分比较。结果:慢性湿疮患者在治疗4周后,各证候患者皮损面积、EASI评分及瘙痒评分均明显下降,治疗前后差异均有显著统计学意义(P<0.01);治疗4周后临床疗效评价,取得痊愈49例,显效125例,总显效率为62.8%;在治疗结束6月后对取得痊愈和显效的患者回访,共随访160例,痊愈患者增加到101例,复发39例,总体复发率为24.4%。结论:运用四川文氏皮科流派协定方治疗慢性湿疮可显著降低其皮损面积百分比、EASI评分及瘙痒评分,取得满意疗效。
Abstract:
AbstractObjective:To observe the efficacy of Sichuan Wen’s dermatological cipher prescription for chronic eczema.Methods:Enrolled patients were grouped into damp and heat storage in skin syndrome,damp storage due to spleen deficiency syndrome,wind dryness due to blood deficiency syndrome.Patients were prescribed corresponding TCM oral medications and were evaluated size of lesion,EASI score and pruritus score before treatment and 4 weeks after treatment.Results:After 4 weeks of treatment,size of lesion,EASI and pruritus scores of all patients significantly decreased (P<0.01);4 weeks after the treatment,49 cured,125 responded,the overall efficacy was 62.8%;6 months after the treatment,160 patients were followedup,101 were cured,39 had a relapse,the overall recurrence rate was 24.4%.Conclusions:Sichuan Wen’s dermatological cipher prescription effectively reduced size of lesion,EASI and pruritus scores of chronic eczema.

参考文献/References:

[1]中华中医药学会.中医皮肤科常见病诊疗指南[M].北京:中国中医药出版社,2012:44.
[2]赵辨.中国临床皮肤病学[M].南京:江苏凤凰科学技术出版社,2009:725731.
[3]国家中医药管理局.中医病证诊断疗效标准[M].北京:中国中医药出版社,2016:263.
[4]赵辨.湿疹面积及严重度指数评分法 [J].中华皮肤科杂志,2004,37(1):34.
[5]Phan N,Blome C,Fritz F,et al.Assessment of pruritus intensity:prospective study on validity and reliability of the visual analogue scale,numerical rating scale and verbal rating scale in 471 patients with chronic pruritus[J].Acta Dermato Venereologica,2012,92(5):502507.
[6]王芳,曹光玲,戚世玲,等.钙泊三醇倍他米松软膏治疗慢性湿疮临床疗效观察[J].临床皮肤科杂志,2014,43(3):179181.
[7]王晶晶,姚春海,田凤艳,等.自拟养血祛风汤治疗血虚风燥型慢性湿疹的效果[J].中国医药导报,2018,15(9):123125.
[8]席丽红,姜云平,王坤.四物消风饮加减治疗血虚风燥型慢性湿疹临床观察[J].光明中医,2019,34(4):564566.
[9]周涛,朱慧婷,曹洋,等.中医辨证分型治疗慢性湿疹的临床疗效观察[J].环球中医药,2017,10(7):767769.
[10]魏建华,李永凯.健脾除湿饮联合董氏奇穴治疗脾虚湿蕴型慢性湿疹的临床研究[J].陕西中医,2017,38(8):11021103.
[11]潘学东,贾丽梅,芦然,等.滋阴除湿汤加减治疗慢性湿疹的临床疗效观察[J].中医临床研究,2017,9(21):3132.
[12]郭娟莉,李春鸟.红光照射对慢性湿疹的治疗效果研究[J].陕西医学杂志,2017,46(4):474475.
[13]胡一梅,葛一漫,王华,等.马齿苋对急性湿疹瘙痒的干预研究[J].天然产物研究与开发,2017,29(12):20172023.
[14]景涛,赵振宇,李振化,等.黄芩苷滴丸治疗特应性皮炎的临床研究[J].中国中西医结合皮肤性病学杂志,2017,16(3):238240.
[15]孟子琦,吴嘉瑞,杨艳平,等.基于网络药理学的“白鲜皮地肤子”药对治疗湿疹作用机制研究 [J].中国医院用药评价与分析,2018,18(6):725728.
[16]张涛,马艳杰,王晓琴.沙参属植物化学成分与药理作用研究进展[J].北方药学,2013,10(6):7475.
[17]吴科锐,韩凌.羧甲基茯苓多糖药理作用研究进展[J].中药材,2017,40(3):744747.
[18]王涵,杨娜,谭静,等.白术化学成分、药理作用及临床应用的研究进展[J].甘肃医药,2018,37(1):2326.
[19]罗欢,卞海,韩燕全,等.陈皮提取物多种药效作用的谱效关系研究[J].山西中医学院学报,2016,17(5):2225.

备注/Memo

备注/Memo:
*四川省中医药管理局科研重点项目(2016Z004)
更新日期/Last Update: 2019-11-15