国医大师熊继柏从风、湿、热、虚论治过敏性疾病经验OA

Allergic diseases are chronic disorders primarily characterized by IgE-mediated aberrant immune responses.Common types include allergic asthma,allergic rhinitis,atopic dermatitis,allergic conjunctivitis,food allergy,as well as angioedema,urticaria,and so on.Although ancient Chinese medical literature contains no exact term equivalent to"allergic diseases",related disorders are described under disease categories such as"Xiao Zheng"(wheezing syndrome),"Bi Qiu"(allergic rhinitis),"Yin Zhen"(urticaria)and"Jin Yin Chuang"(damp eczema).Most modern traditional Chinese medicine(TCM)practitioners believe that the pathogenesis of these diseases is essentially attributed to inherent constitutional intolerance combined with exposure to external pathogenic factors,leading to dysfunction of Zang-Fu organs.Professor Xiong Jibai proposes that the main pathogenic factors for allergic diseases are mainly wind,dampness,and heat;the pathogenesis is internal disturbance of wind pathogen and intermingling of dampness and heat.The disease is located in the lung-defense,muscle interstitial space and sense organs,and is related to the lung,spleen and kidney.This study systematically sorts out Professor Xiong's system for syndrome differentiation and treatment of allergic diseases:In the acute attack stage,mild,clear and dispersing medicines are used to eliminate pathogens and consolidate the exterior,thereby relieving symptoms;in the middle stage,the focus is on resolving stagnation of dampness and heat to smooth the flow of Qi;in the chronic protracted stage,the lung,spleen and kidney are regulated and tonified to strengthen healthy Qi and consolidate the root.By integrating relevant medical cases,this study summarizes Professor Xiong's academic thoughts and clinical experience in the syndrome differentiation and treatment of allergic diseases,aiming to provide new insights for the clinical treatment of this disease.