燕京赵氏皮科流派气血津液理论治疗红皮病型银屑病的临床经验OA
Clinical experience of Zhao's dermatology school in Yanjing in the treatment of erythrodermic psoriasis based on the theory of qi,blood and body fluids
红皮病型银屑病作为一种严重的全身性炎症性皮肤病,临床以弥漫性红斑、肿胀、浸润及广泛脱屑为特征,病情常呈急骤进展或慢性迁延之势,对患者生理心理均造成严重影响.燕京赵氏皮科流派在长期临床实践中,针对本病不同阶段的病机演变,形成了分期辨治、内外结合的诊疗体系:对于急性进展期,借鉴温病学理论,早期重在清热解毒以挫其病势,后期则转以益气养阴固护正气;而对慢性迁延阶段,则灵活运用气血津液辨证,紧扣血热、津亏、血瘀及痰饮水湿等关键病机,进行系统调治.本文旨在系统梳理燕京赵氏皮科流派诊治本病的学术经验,深入追溯其"从血论治"银屑病的理论渊源,剖析其理论内涵的演变与发展脉络,并进一步总结该流派在气血津液辨证体系下论治红皮病型银屑病的理论构建与临床深化过程,以期为红皮病型银屑病的中医临床治疗提供新的诊疗思路与理论参照.
Erythrodermic psoriasis,as a serious systemic inflammatory skin disease,is characterized by diffuse erythema,swelling,infiltration and extensive desquamation,and its condition often develops rapidly or chronically,which has a significant impact on patients'physiology and psychology.In its long-term clinical practice,Zhao's dermatology school in Yanjing has formed a diagnosis and treatment system based on syndrome differentiation and treatment by stages and combination of internal and external factors in view of the pathogenesis evolution of the disease at different stages.For the acute advanced stage,its management draws on the theory of febrile diseases,focusing on clearing away heat and detoxifying to curb the disease in the early stage,and focusing on invigorating qi,nourishing yin and fostering healthy qi in the later stage.For the chronic protracted stage,its intervention features flexibly employing the syndrome differentiation of qi,blood and body fluids,closely following the key pathogeneses such as blood heat,body fluid depletion,blood stasis,phlegm and fluid retention,water dampness,and carrying out systematic regulation and treatment.This paper aims to systematically sort out the academic experience of Zhao's dermatology school in Yanjing in the diagnosis and treatment of this disease,deeply trace its theoretical origins of"treating psoriasis from blood",analyze the evolution process of its theoretical connotation,and further summarize the theoretical construction and clinical deepening process of this school in treating erythrodermic psoriasis under the syndrome differentiation of qi,blood and body fluids,in order to provide new diagnostic ideas and theoretical references for the clinical treatment of erythrodermic psoriasis in traditional Chinese medicine.
张永皓;曲剑华;范斌
首都医科大学附属北京中医医院皮肤科,北京 100010首都医科大学附属北京中医医院皮肤科,北京 100010首都医科大学附属北京中医医院皮肤科,北京 100010
医药卫生
银屑病红皮病型燕京赵氏皮科流派气血津液理论
psoriasiserythrodermaZhao's dermatology school in Yanjingtheory of qi,blood,body fluids
《吉林中医药》 2026 (6)
717-722,6
北京中医药薪火传承"新3+3"工程示范案例项目(2023-ZYSF-05)
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