| 王世博,宋秀祖.基于“风气百疾”理论探析白癜风临证论治[J].浙江中医药大学学报,2022,46(4):395-399. |
| 基于“风气百疾”理论探析白癜风临证论治 |
| Discussion on Clinical Treatment of Vitiligo Based on the Theory of “Internal Generation of Wind and Disorder of Qi Movement Leading to Various Diseases” |
| DOI：10.16466/j.issn1005-5509.2022.04.007 |
| 中文关键词: 风气百疾 白癜风 薯蓣丸 辨证论治 遣方用药 医案 |
| 英文关键词: internal generation of wind and disorder of Qi movement leads to various diseases vitiligo Shuyu Pill syndrome differentiation and treatment prescription and medication medical case |
| 基金项目:国家自然科学基金项目(81872517) |
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| 中文摘要: |
| [目的] 探析“风气百疾”理论辨治白癜风的核心病机观内涵，总结薯蓣丸在白癜风诊治方面的应用，为白癜风的治疗拓展思路。[方法] 通过查阅中医古籍和现代文献，搜集部分医家对于“风气百疾”理论的学术观点，探讨白癜风的病因病机以及薯蓣丸的配伍应用，提炼白癜风辨治的临证思路和用药特色，并附一则医案加以验证。 [结果] 基于“风气百疾”理论探析白癜风病程缠绵、迁延难愈、反复发作的临床特点，提出风邪外袭、气血不和乃白癜风发病之本，伏风内潜是白癜风易于复发的重要原因。治疗方面依据“薯蓣丸主之”的论治特点，确立补气、和血、祛风三法并行治疗白癜风的遣方用药思路，治疗时更应区别进展期、稳定期的病机特点，注重标本同治、攻补兼施。所举验案为白癜风所致脾胃虚弱，以补气和血、祛风益胃为治则，方选薯蓣丸加减联合西药治疗，临床获效显著。[结论] 基于“风气百疾”理论辨治白癜风合理可靠，建立白癜风特色辨治体系，可为今后中医药治疗白癜风提供更为广阔的思路和方法。 |
| 英文摘要: |
| [Objective] To explore the connotation of the core pathogenesis of vitiligo syndrome differentiation based on the theory of “internal generation of wind and disorder of Qi movement leads to various diseases”， and summarize the application of Shuyu Pill in the diagnosis and treatment of vitiligo， and expand ideas for the clinical treatment of vitiligo. [Methods] Through consulting the ancient books and modern literature of traditional Chinese medicine(TCM)， collecting the academic views of some doctors on the theory of “internal generation of wind and disorder of Qi movement leads to various diseases”， the etiology and pathogenesis of vitiligo and the compatible application of Shuyu Pill were discussed， and the clinical syndrome differentiation and treatment ideas and medication characteristics of vitiligo were refined. One case was presented for verification. [Results] Based on the theory of “internal generation of wind and disorder of Qi movement leads to various diseases”， the clinical characteristics of vitiligo were analyzed， which is lingering， difficult to heal and recurrent. It is proposed that the pathogenesis of vitiligo is based on “internal generation of wind”. The external attack of wind evil and the disharmony of Qi and blood are the origin of vitiligo， and the underlying wind is an important reason for the easy recurrence of vitiligo. In terms of treatment， according to the treatment characteristics of “Shuyu Pill dominating”， establish the prescription and medication idea of supplementing Qi， harmonizing blood and dispelling wind in the parallel treatment of vitiligo. In the course of treatment， attention should be paid to distinguish the pathogenesis characteristics of progressive stage and stable stage， and the simultaneous treatment of symptoms and signs， attack and supplement， in order to establish the syndrome differentiation treatment system of vitiligo. The case cited was differentiated as the spleen and stomach deficiency due to vitiligo， and the treatment should be based on the principle of supplementing Qi， harmonizing blood and dispelling wind， tonifying the stomach， therefore Shuyu Pill combined with western medicine was chosen. Significant effects were obtained after treatment. [Conclusion] Based on the theory of “internal generation of wind and disorder of Qi movement leads to various diseases”， the syndrome differentiation and treatment of vitiligo is reasonable and reliable. The establishment of characteristic syndrome differentiation and treatment system of vitiligo can provide broader ideas and methods for the treatment of vitiligo with TCM in the future. |
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