曹毅应用蒿芩清胆汤加减治疗湿热蕴结型湿疹经验介绍
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R249;R758.23

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曹毅名老中医专家传承工作室(GZS2020022)


Experience of CAO Yi in Using Haoqin Qingdan Decoction to Treat Eczema of Damp- Heat Accumulation Type
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    摘要:

    介绍曹毅教授应用蒿芩清胆汤加减治疗湿热蕴结型湿疹的临床经验。曹毅教授结合江浙地区之气 候特点与居民的饮食习惯,认为湿热蕴结型湿疹之病因,湿、热之邪贯穿始终,核心病机为三焦气机不畅,少 阳枢机不利,胆热犯胃,湿热中阻。蒿芩清胆汤在配伍上融清透、宣上、畅中、渗下于一体,寓分消走泄之法 于和解少阳之中。应用蒿芩清胆汤治疗湿疹时,要抓住皮损色红,伴渗出、瘙痒、口苦、舌红、苔腻、脉弦等 为证治要点。因其方药性寒凉,用时当注重顾护脾胃。故曹毅教授辨治湿热蕴结型湿疹强调通利三焦、条达少 阳,疏肝理脾、肝脾同治。

    Abstract:

    Abstract: This paper introduces Professor CAO Yi's clinical experience in using Haoqin Qingdan Decoction to treat eczema of damp-heat accumulation type. According to the climatic characteristics of Jiangsu and Zhejiang provinces and the dietary habits of the residents,Professor CAO Yi believed that the etiology of eczema of damp-heat accumulation type is pathogenic factors of dampness and heat throughout the disease course. The core pathogenesis is the inhibited qi movement of the triple energizers, disturbance of shaoyang pivot movement,gallbladder-heat attacking the lung and damp-heat obstructing in the middle energizer. In terms of compatibility,Haoqin Qingtan Decoction has the effects of clearing and venting,diffusing the upper energizer,freeing the middle energizer and draining the lower energizer,and thus the method of dispersing pathogens separately and discharging can be applied to harmonize shaoyang. When applying Haoqin Qingdan Decoction to treat eczema,it is necessary to grasp the following symptoms as the main points:red skin lesions,exudation,pruritus,bitter taste in the mouth,red tongue,greasy coating and wiry pulse. Due to the decoction is cold and cool in its nature,attention should be paid to the care of the spleen and stomach when it is used. Therefore,when Professor CAO Yi differentiates to treat eczema of damp-heat accumulation type,he emphasizes on promoting the triple energizers,freeing the activity of shaoyang,soothing the liver and rectifying the spleen,and simultaneously treating the liver and spleen.

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张轶男,指导:曹毅.曹毅应用蒿芩清胆汤加减治疗湿热蕴结型湿疹经验介绍[J].新中医,2024,56(6):195-199

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  • 在线发布日期: 2024-03-26
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