摘要
总结国医大师张磊从“奇邪入络”辨治硬皮病的经验。认为硬皮病的基本病机为奇邪入络,奇邪可分外感奇邪和内生奇邪两大类,外感奇邪多为外感风、寒、湿邪,病机为风寒湿侵袭皮腠,留阻络脉;而内生奇邪多为痰浊、瘀血,病机为痰瘀内生,离经溢络,闭阻络脉;奇邪阻滞日久,久病则虚,亦可发展为络实经虚之候。由此以通络祛邪为法,创藤络饮为基础方,并根据水肿期、硬化期、萎缩期的病机特点不同随证加减治疗,水肿期治以祛风除湿通络,硬化期治以化痰逐瘀通络,萎缩期当明辨气血阴阳之虚损,在扶正的基础上祛除奇邪。
This paper summarized professor ZHANG Lei′s experience in treating scleroderma from“extraordi⁃nary pathogens entering collaterals”.The basic pathogenesis of scleroderma is“extraordinary pathogens entering the collaterals”,and extraordinary pathogens can be divided into external and internal categories.External extraordinary pathogens are mostly exogenous wind,cold and damp pathogens,and the pathogenesis is wind,cold and damp invad⁃ing skin stria and retaining collaterals.Most of the endogenous extraordinary pathogens are turbid phlegm and blood stasis,and the pathogenesis is endogenous phlegm and stasis leaving the channels and overflowing the collaterals,and blocking the collaterals.Blocked by extraordinary pathogens for a long time,the long illness will lead to deficiency and develop into a syndrome of collaterals excess and channels deficiency.Therefore,professor ZHANG creats Tengluo Beverage(藤络饮)as the basic formula to unblock collaterals and dispel pathogens,and recommends to add or subtract it according to the different syndrome and pathogenic characteristics of the edema stage,sclerosis stage,and atrophy stage.In the edema stage,it is advised to expel wind,remove dampness and unblock the collaterals,while in the sclerosis stage,the method of dissolving phlegm,expelling stasis and unblocking collaterals should be used;in the atrophic stage,it is suggested to differentiate the deficiency of qi,blood,yin and yang,and eliminate extraordinary pathogens on the basis of reinforcing healthy qi.
作者
李亚南
许二平
张瑞
王晨琳
LI Yanan;XU Erping;ZHANG Rui;WANG Chenlin(Henan University of Chinese Medicine,Zhengzhou,450046)
出处
《中医杂志》
CSCD
北大核心
2023年第17期1745-1749,共5页
Journal of Traditional Chinese Medicine
基金
河南省特色骨干学科中医学学科建设项目(STGZYX04-202132)。
关键词
硬皮病
皮痹
奇邪入络
名医经验
张磊
scleroderma
skin bi(痹)
extraordinary pathogens entering collaterals
experience of famous doctors
ZHANG Lei
