摘要
面游风是临床上常见皮肤病,病因病机始终不离一个“风”字。风邪外感,腠理开泄,引动体内湿热、血热伏邪,风、湿、热邪妄行肌腠,内外相感,发为本病。风药具有“升、散、行、动、燥”等特性,根据面游风病机的不同,可发挥不同的治疗作用,如风邪犯表,可以风药疏解之;脾为湿困,可以风药升阳除湿;玄府闭塞,可用风药理气开玄;中焦郁火,可用风药透热转气;巅顶之上,可用风药载之。程宏斌教授认为,面游风的病机核心在于“阳明热体当风”,结合风药的作用特点,分享验案1则,探讨在辨证论治的基础上使用风药。
Seborrheic dermatitis of the face is a common clinical skin disease,and the etiology of the disease is always about the word“wind”.Wind evil attacking from outside,the pores of body are Openning,and induce the hidden evil of damp heat,blood heat.Wind,damp,heat evil move chaotically on the surface of the skin.The internal and external sensation,the development of the disease.Wind medicine has“up,dispersing,line,moving,dry”and other characteristics,according to the different pathogenesis of the seborrheic dermatitis of the face,can play a different therapeutic role,such as when the wind evil attacks the face of skin,you can use wind medicine to relieve it;when spleen for wet trapped,you can use wind medicine to raise yang energy and remove dampness;when xuanfu blockage,you can use wind medicine to open up the xuanfu;when central Jiao fire,you can use wind medicine to bring heat out to the qi division;Only wind medicine can achieve the head,wind medicine can be used to carry the medicine to the head.Cheng Hongbin believes that the core of the pathogenesis of seborrheic dermatitis of the face lies in“Yangming heat body attacked by wind”,and shares a case to discuss the use of wind medicine on the basis of evidence-based treatment.
作者
刘滢
杨芳清
彭梓
黄缘恩
苏娅
程宏斌
LIU Ying;YANG Fangqing;PENG Zi(Clinical Medical College of Chengdu University of Chinese Medicine,Chengdu Sichuan 610075,China)
出处
《四川中医》
2023年第10期18-21,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省科学技术厅重点研发计划(重大科技专项)(编号:2022YFS0416)
四川省中医药管理局科学技术研究专项课题(编号:2022CP1336)
关键词
风药
面部脂溢性皮炎
病机
验案
wind medicine
seborrheic dermatitis of the face
pathogenesis
clinical case
