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基于"玄府-络脉"探讨花类药在皮肤病中的应用OA

Discussion on the Application of Flower Medicine in Dermatologic Diseases Based on the"Sweat Pore-Collateral Vessel"Principle

中文摘要英文摘要

"玄府-络脉"是沟通人体内外、促进形气相合的重要媒介,通过调节人体气、血、津液等物质的升降出入和正常运行,在皮肤病的发生发展过程中起到关键作用.花类药多气轻味薄,作用趋势多具有"升"的特点,善于治疗上焦及皮肤肌表病症.现代药理作用研究表明,花类药具有调节神经、免疫、内分泌,抗炎、抗菌、抗氧化等作用,具有治疗皮肤疾病的潜在价值.因此,本文从"玄府-络脉"角度出发,认为皮肤疾病的病机主要包括气络失和、玄府怫郁;血络失养、玄府开阖失司和津络失布、玄府闭塞三个方面.结合多位名医临床常用花药的功效主治,从调畅气机、开玄通络,清热解毒、凉血止血、活血化瘀和祛湿化痰、养阴润燥三个方面探讨花类药在皮肤疾病中的应用,以期为皮肤病的临床诊治提供花类药物的应用思路并完善其应用的理论依据.

The"sweat pore-collateral vessel"system serves as an important medium connecting the interior and exterior of the human body and promoting the harmony of form and Qi.By regulating the ascending,descending,exiting,and entering of Qi,blood,and body fluids,it plays a key role in the development of dermatologic diseases.Flower medicine is generally light in nature and thin in flavor,with a tendency of action characterized by"ascending",making it particularly effective for treating disorders of the upper energizer and the skin surface.Modern pharmacological studies have demonstrated that flower medicine possesses potential therapeutic value for skin diseases through its regulatory effects on nerves,immunity,and endocrine function,as well as its anti-inflammatory,antibacterial,and antioxidant activities.Therefore,from the perspective of the"sweat pore-collateral vessel"system,this paper proposes that the pathogenesis of skin diseases mainly involves three aspects:disharmony of Qi and collateral vessels leading to stagnation of sweat pores;malnutrition of blood and collateral vessels resulting in dysfunction of sweat pore opening and closing;and impaired distribution of fluids and collateral vessels causing sweat pore obstruction.Combined with the clinical experience of numerous renowned physicians in using commonly prescribed flower medicines,this paper discusses the application of flower medicine in skin diseases from three therapeutic approaches:regulating Qi movement to open sweat pores and unblock collaterals;clearing heat,removing toxins,cooling blood,stopping bleeding,and activating blood circulation to resolve stasis;and dispelling dampness,resolving phlegm,nourishing Yin,and moisturizing dryness.This study aims to provide clinical references for the application of flower medicine in the diagnosis and treatment of skin diseases and to strengthen the theoretical basis for its use.

彭彬;徐世杰;张华敏;高雅

中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中国医史文献研究所,北京 100700

医药卫生

玄府络脉花类药皮肤疾病

Sweat poreCollateral vesselFlower medicineDermatologic diseases

《中国中医基础医学杂志》 2026 (9)

1901-1905,5

国家社会科学基金项目(22CMZ042)

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