[1]王远红,孟羽茜,王绍莹.基于“重寒伤肺”理论探讨阳虚型白癜风的证治[J].陕西中医,2023,(6):762-765.[doi:DOI:10.3969/j.issn.1000-7369.2023.06.018]
　WANG Yuanhong,MENG Yuxi,WANG Shaoying.Discussion on diagnosis and treatment of vitiligo of Yang deficiency based on the theory of “severe cold injuring lung”[J].,2023,(6):762-765.[doi:DOI:10.3969/j.issn.1000-7369.2023.06.018]
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基于“重寒伤肺”理论探讨阳虚型白癜风的证治
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年6期
页码:
762-765
栏目:
学术探讨
出版日期:
2023-06-05

文章信息/Info

Title:
Discussion on diagnosis and treatment of vitiligo of Yang deficiency based on the theory of “severe cold injuring lung”
作者:
王远红1; 孟羽茜2; 王绍莹3
(1.黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040; 2.黑龙江中医药大学,黑龙江 哈尔滨 150040; 3.中国科学院大学深圳医院,广东 深圳 518000)
Author(s):
WANG Yuanhong; MENG Yuxi; WANG Shaoying
(The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China)
关键词:
白癜风;  阳虚;  外寒;  扶阳散寒;  健脾;  化瘀
Keywords:
Vitiligo;  Yang deficiency;  External cold;  Supporting yang and dispelling cold;  Invigorating the spleen;  Removing blood stasis
分类号:
R 758.41
DOI:
DOI:10.3969/j.issn.1000-7369.2023.06.018
文献标志码:
A
摘要:
白癜风是以获得性皮肤色素脱失为主症的皮肤疾病,其病机以外风侵袭、气血营卫失和为主,但临床部分患者病机以阳虚为本。重寒伤肺理论源于《内经》,因肺合皮毛、肺脉起于中焦,阳虚感寒、虚虚相得,故重寒可导致肺伤、营卫气血不和、肌肤失煦,治疗上应表里同治以扶正祛邪。临床上阳虚型白癜风的病因病机可总结为阳虚脾寒,阳虚血瘀,阳虚痰凝。基于重寒伤肺理论,可从扶阳散寒论治,兼以暖脾健脾、化瘀通络、宣通瘀滞,使气血畅和,营卫调和,皮肤白斑消散。
Abstract:
Vitiligo is a skin disease characterized by acquired skin depigmentation.The main pathogenesis of vitiligo is invasion of external wind and disharmony of qi and blood,but the pathogenesis of some clinical patients is yang deficiency.The theory of severe cold injuring the lung originates from the internal classic,because the lung merges fur and pulse from zhongjiao,yang deficiency and cold deficiency,so severe cold can lead to lung injury,ying wei qi and blood disharmony,skin loss of genesis,treatment should be treated with both exterior and interior in order to strengthen the upright and dispel evil.Clinically,the etiology and pathogenesis of yang deficiency vitiligo can be summarized as yang deficiency,spleen cold,yang deficiency and blood stasis,yang deficiency and phlegm coagulation.Based on the theory of severe cold injuring the lung,it can be treated by invigorating the spleen,removing blood stasis and dredging collaterals,promoting blood stasis,harmonizing qi and blood,harmonizing ying and wei,and dissipating leukoplakia of the skin.

参考文献/References:

[1] 赵艳霞,贾婷婷,王鹏雨,等.白癜风临床特征的研究现状[J].中国中西医结合皮肤性病学杂志,2020,19(4):388-390.
[2] 杨慧兰,李翠华,李雪梅,等.白癜风的治疗现状与进展[J].中国美容医学,2006,12(1):93-96.
[3] 杨 锐,张圣燕,葛连佳,等.白癜风中西医治疗概况[J].现代中西医结合杂志,2022,31(9):1300-1305.
[4] 欧柏生,魏 飞,冯 杲,等.从寒论治法治疗白癜风100例[J].陕西中医,2012,33(5):570-571.
[5] 王海媚,江 璇,叶 焰.基于“形寒饮冷则伤肺”及“伏风”理论辨治脆性哮喘[J].中国中医急症,2020,29(12):2147-2150.
[6] 沈雪勇.手太阴肺经为何起于中焦?十二经流注何以始于肺经?[J].针灸临床杂志,1996,12(2):23.
[7] 张积思,徐江雁.“肺朝百脉”理论研究评析[J].中华中医药杂志,2020,35(11):5367-5369.
[8] 方晗语,李林康,汤朝晖.论“肺朝百脉,输精于皮毛”对脱发治疗的意义[J].名医,2018,12(3):42.
[9] 程 越,于 漫,王彩霞.基于脾胃学说指导下的肠道微生态中医本质探讨[J].时珍国医国药,2020,31(8):1946-1949.
[10] 舒 晴,喻松仁,白 洋,等.脾虚证的免疫学机制研究进展[J].江西中医药大学学报,2018,30(6):116-120.
[11] 徐胤聪.从卫气与经脉关系论“审察卫气,为百病母”[J].西部中医药,2021,34(12):47-49.
[12] 王远红,董晓仪,李 玉.扫白茴风丸对阳虚血瘀型白癜风患者皮肤表面金黄色葡萄球菌定植率的影响[J].中医药学报,2021,49(8):60-64.
[13] 裘卓琼,李 巍.皮肤菌群-宿主相互作用及其与炎症性皮肤病的关系[J].中华皮肤科杂志,2020,53(7):576-580.
[14] 范继东,谷 松.《伤寒杂病论》“阳气”实质探析[J].现代中西医结合杂志,2022,31(9):1235-1239.
[15] 蔡一歌,金 力.十二皮部理论在皮肤病中的应用现状[J].实用皮肤病学杂志,2012,5(5):282-284.
[16] 刘宇超,杨皓瑜,白彦萍.白彦萍经络辨治皮肤病经验[J].北京中医药,2022,41(7):743-745.
[17] 李丹丹,孙 瞾,吴 珠,等.加味温经汤联合温针灸对寒凝血瘀型原发性痛经患者疼痛介质及免疫功能的影响[J].世界中医药,2022,17(9):1326-1330.
[18] 陆豪杰,宋秀祖.皮肤组织常驻记忆T细胞在白癜风炎症反应中的作用[J].中华皮肤科杂志,2020,53(12):1026-1028.
[19] 王远红,董晓仪,李 慧.基于外周血Th17和Treg细胞探讨扫白茴风丸治疗阳虚血瘀型白癜风的作用机制[J].中医药学报,2021,49(9):62-66.
[20] 姜德友,王晨彤,韩洁茹,等.寒地情志不和的取象思维探讨[J].中华中医药杂志,2021,36(6):3523-3525.
[21] 王树鹏.麻黄细辛附子汤对变应性鼻炎T淋巴细胞亚群的影响[J].辽宁中医杂志,2002,14(9):562-563.
[22] 肖月园,刘邦民,张海龙.从风气瘀虚论治白癜风探析[J].陕西中医,2013,34(9):1198-1200.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助面上项目(81873312); 黑龙江省自然科学基金资助面上项目(H201462); 黑龙江省自然科学基金资助联合引导项目(LH2022H077)
更新日期/Last Update: 2023-06-09