文献类型：期刊文献

中文题名：基于部位辨证治疗反向型银屑病经验

英文题名：Experience in the Treatment of Reverse Psoriasis Based on Location-Based Syndrome Differentiation

作者：李廷保[1];杨鹏斐[1];梁永林[1];殷世鹏[1]

第一作者：李廷保

机构：[1]甘肃中医药大学中医临床学院,甘肃兰州730000

第一机构：甘肃中医药大学中医临床学院

年份：2023

卷号：64

期号：21

起止页码：2253

中文期刊名：中医杂志

外文期刊名：Journal of Traditional Chinese Medicine

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD2023_2024】；

语种：中文

中文关键词：反向型银屑病;发病部位;湿;热;瘀;毒

外文关键词：reverse psoriasis;affected location;dampness;heat;stasis;toxins

摘要：总结基于部位辨证治疗反向型银屑病的经验。认为反向型银屑病发病以“湿、热、瘀、毒”为主要病理因素,临床在结合发病部位辨证治疗的基础上,根据湿、热、瘀、毒的不同侧重灵活施治。发于上部常见风热袭表证,治以清热透表、疏风止痒,方用自拟三花汤加减;或血热蕴结证,治以清解热毒、凉血消斑,方用自拟三草汤加减。发于中部多为湿热蕴脾证,治以清热解毒、燥湿健脾,方用自拟三黄汤加减;或瘀热互结证,治以化瘀清热、解毒通络,方用自拟三藤汤加减。发于下部多为湿热下注证,治以解毒除湿、清利下焦,方用自拟三苓汤加减;或寒湿蕴毒证,治以温阳益气、解毒除湿,方用自拟三参汤加减。
To summarize the experience in treating reverse psoriasis based on location-based syndrome differentiation.It is believed that the main pathological factors in the onset of reverse psoriasis are dampness,heat,stasis,and toxins.In clinical practice,treatment is tailored based on the location-based syndrome differentiation and treatment according to the presence of dampness,heat,stasis,and toxins.For cases that manifest predominantly in the upper body with wind-heat attacking the surface,the treatment focuses on clearing heat,dispersing wind,and relieving itching,and a self-designed Sanhua Decoction (三花汤) is used.Alternatively,for cases with blood heat accumulating and stagnation,the treatment emphasizes on clearing heat and toxins,and cooling blood to eliminate skin lesions,and self-designed Sancao Decoction (三草汤) is employed.For cases that mainly affect the middle part of the body with damp-heat stagnating in the spleen,the treatment focuses on clearing heat,resolving toxins,and drying dampness while invigorating the spleen,and a self-designed Sanhuang Decoction (三黄汤) is applied.For cases with stasis and heat intertwining,the treatment aims to resolve stasis,clear heat,and activate collaterals while detoxifying,and a self-designed Santeng Decoction (三藤汤) is used.For cases that predominantly affect the lower part of the body with damp-heat descending,the treatment focuses on detoxification,eliminating dampness,and clearing and promoting the lower jiao,and a self-made Sanling Decoction (三苓汤) is used.For cases with cold and dampness accumulating and toxins,the treatment emphasizes on warming yang,supplementing qi,and detoxification while eliminating dampness,and a self-made Sanshen Decoction (三参汤) is prescribed.