文章摘要
杨雪圆,闫小宁,蔡宛灵.闫小宁教授运用克银汤治疗血瘀型银屑病经验[J].浙江中医药大学学报,2021,(2):202-204, 208.
闫小宁教授运用克银汤治疗血瘀型银屑病经验
Professor YAN Xiaoning’s Experience in Treating Blood Stasis Psoriasis with Keyin Decoction
投稿时间:2020-07-01  
DOI:10.16466/j.issn1005-5509.2021.02.020
中文关键词: 银屑病  血瘀证  病因病机  自拟方  克银汤  闫小宁  临床经验  医案
英文关键词: psoriasis  blood stasis syndrome  etiology and pathogenesis  self-made prescription  Keyin Decoction  YAN Xiaoning  clinical experience  medical records
基金项目:国家重点研发计划“中医药现代化研究重点专项”(2018YFC1705303)
作者单位E-mail
杨雪圆 陕西中医药大学第一临床医学院 陕西咸阳 712046  
闫小宁 陕西省中医医院 yanxiaon2005@126.com 
蔡宛灵 陕西中医药大学第一临床医学院 陕西咸阳 712046  
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中文摘要:
      [目的]总结闫小宁教授运用克银汤治疗血瘀型银屑病的临证经验,提高中医药治疗血瘀型银屑病的临床疗效。[方法]通过侍诊学习,整理、分析闫小宁教授治疗银屑病血瘀证的医案,从病因病机、临证拟方及配伍加减等方面探究闫小宁教授运用克银汤治疗血瘀型银屑病的临证经验,同时以两则验案佐证。[结果]闫小宁教授认为血瘀型银屑病的病因病机为风热毒邪聚结肌肤,或营血亏耗,生风生燥,导致气血凝滞而发病。针对此病因病机,采用凉血活血、解毒化瘀、养血消斑的治疗总则,并自拟克银汤治疗此病。所列两则医案均具体展示了上述辨证思路和用药特色。其中案一患者辨证为血瘀夹湿热证,治以凉血活血、清热利湿之法,投以自拟方克银汤加减治疗,疗效甚好。案二患者为典型血瘀证型银屑病,首诊以凉血活血、通络化瘀为主,经运用克银汤治疗后皮疹基本消退,故续用前方佐以滋阴之品巩固治疗。[结论]闫小宁教授运用克银汤治疗血瘀型银屑病的临床经验和独到的个人见解值得学习推广和深入探讨。
英文摘要:
      [Objective] To summarize the clinical experience of Professor YAN Xiaoning in the treatment of blood stasis psoriasis with Keyin Decoction, and to improve the clinical effectiveness of traditional Chinese medicine(TCM) in the treatment of blood stasis psoriasis. [Methods] Through attending clinical work, sorting out and analyzing the medical records of Professor YAN’s treatment of blood stasis psoriasis, Professor YAN’s clinical experience in treating of blood stasis psoriasis with Keyin Decoction was explored from the aspects of etiology and pathogenesis, clinical prescriptions and compatibility addition and subtraction, and two cases were presented as proof. [Results] Professor YAN believes that the etiology and pathogenesis of blood stasis psoriasis is the accumulation of wind, heat and toxins in the skin, or loss of nutritious blood, production of wind and dryness, leading to Qi and blood stagnation. Aiming at the etiology and pathogenesis, cooling blood and promoting blood circulation, detoxifying and removing blood stasis, nourishing blood and eliminating spots were adopted as the general principles of the treatment, and the self-made Keyin Decoction was used to treat this disease. The two medical records listed specifically displayed the above-mentioned syndrome differentiation ideas and medication characteristics. In the first case, the patient was differentiated as blood stasis combined with damp-heat syndrome, the treatment methods were cooling blood and promoting blood circulation, clearing heat and eliminating dampness, and self-made Keyin Decoction was adopted. The second patient was of typical blood stasis psoriasis. Cooling blood and promoting blood circulation, dredging collaterals and removing blood stasis were the mainly treatments at the first visit. After treated with Keyin Decoction, the rash basically subsided. Therefore, the former prescription was continually used and combined with nourishing Yin in the follow-up treatment to consolidate the treatment. [Conclusion] Professor YAN’s clinical experience and unique personal insights in the treatment of blood stasis psoriasis with Keyin Decoction are worthy of study, promotion and in-depth discussion.
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