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翟文生运用六经辨证治疗过敏性紫癜经验OA

Professor Zhai Wensheng's Experience of Treating Henoch-Schönlein Purpura Based on Six-Meridian Syndrome Differentiation

中文摘要英文摘要

总结翟文生教授运用六经辨证治疗过敏性紫癜的经验.阐明过敏性紫癜的病机演变规律:过敏性紫癜初始阶段对应太阳病,病机是风邪袭表、营卫失调;进展阶段对应阳明病,病机是热盛迫血、瘀热互结;反复阶段对应少阳病,病机是枢机不利、气血瘀滞;病程日久虚损阶段对应三阴病,病机是脏腑虚损、血失统摄.临证采用桂枝汤、白虎汤、小柴胡汤、理中汤等经方化裁,结合现代药理研究优化组方,形成六经辨证与经方联用的诊疗模式,为过敏性紫癜的中医诊疗提供思路与实践依据.举白虎汤合桃仁承气汤治疗过敏性紫癜阳明热盛证验案 1 则.

This paper summarizes Professor Zhai Wensheng's clinical experience of treating Henoch-Schönlein purpura(HSP)applying the method of six-meridian syndrome differentiation.The pathological evolution of HSP is elucidated.HSP initial stage belongs to Taiyang syndrome with the pathogenesis of external attack of wind evil and damage of Ying and Wei systems;HSP progressive stage belongs to Yang-ming syndrome,with the pathogenesis of excessive heat forcing blood extravasation and intermingling of stasis and heat;HSP recurrent stage belongs to Shaoyang syndrome,with the pathogenesis of impairment of pivotal function failing,Qi stagnation and blood stasis;HSP in prolonged deficiency stage belongs to three Yin syndromes,with the pathogenesis of visceral deficiency and failure to control blood.The modified classical formulas such as Guizhi Tang,Baihu Tang,Xiaochaihu Tang and Lizhong Tang are applied.The formula prescriptions have been optimized according to modern pharmacological research.The diagnostic and therapeutic model combining six-meridian syndrome differentiation with classical formulas has been established,which could provide theoretical thought and practical evidence of TCM treatment of HSP.A case of treating HSP Yangming excessive heat syndrome with Baihu Tang combined with Taoren Chengqi Tang is attached.

李广;翟文生

河南中医药大学第一附属医院儿科医院,河南 郑州 450000河南中医药大学第一附属医院儿科医院,河南 郑州 450000

医药卫生

过敏性紫癜六经辨证经方翟文生名医经验

Henoch-Schönlein purpurasix-meridian syndrome differentiationclassical formulaZhai Wenshengexperience of renowned TCM physician

《中医研究》 2026 (6)

13-18,6

国家自然科学基金面上项目(82274577)2025年度河南省中医药科研专项联合共建课题(河南省中医院)(2025LHZX2183)第七批全国老中医药专家学术经验继承工作项目(国中医药人教涵[2022]76号)

10.3969/j.issn.1001-6910.2026.06.04

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