摘要
足癣是一种常见的由真菌感染而引发的皮肤病,中医称之为脚湿气、臭田螺、烂脚丫等。此病多见于成年人,病变常累及趾间、足底及足侧缘。此病临床中可分为四型,即水疱型、浸渍糜烂型、丘疹鳞屑型及角化过度型。因其剧烈瘙痒、侵及皮肤出现水疱、皲裂甚至出血,且具有传染性及反复发作、缠绵难愈的特点,严重影响患者的生活质量和身心健康,给社会造成了沉重的经济负担。随着环境、生活方式等诸多因素的影响,我国此病的发病率亦逐年增高。现阶段,对足癣的关注度较低,研究工作较少,研究多聚焦于临床观察,其发病机制及药物作用途径仍未被阐明。西医临床治疗此病主要采取口服和外用抗真菌药物,但随着临床的大量应用,容易产生耐药性,停药后易复发,部分患者口服药物治疗过程中还会出现明显的不良反应,用药具有一定的局限性。中医药治疗足癣的历史悠久,现临床应用较广泛,不良反应小,有独特的优势。且治疗方法多样,以外治法为主,应用方便,直达病灶,常用的剂型有洗剂、散粉剂、酊剂、膏剂等,另外还有针灸治疗等中医特色疗法。经过长时间的临床检验,足以证明其有效性及安全性。文章就近年来中医药内治法、外治法和中西医结合疗法治疗足癣的进展进行概述,以期为临床治疗提供新思路。
Tinna pedis is a common skin disease caused by fungal infections,which is called foot moisture,smelly field snails,and rotten feet.in traditional Chinese medicine.The disease is more common in adults and often affects the intertoes,soles of the feet,and lateral margins of the foot.Clinically,it can be divided into four types,namely vesicular type,impregnated erosion type,papulic scaly type and hyperkeratotic type.Because of severe itching,blisters,cracks and even bleeding on the skin,and the characteristics of contagious and recurrent attacks and lingering and difficult to heal,it seriously affects the quality of life and physical and mental health of patients,and causes a heavy economic burden to society.With the influence of many factors such as environment and lifestyle,its incidence rate in China is also increasing year by year.At this stage,the attention of tinea pedis is relatively low,the research work is less,the research is mostly focused on clinical observation,and its pathogenesis and drug action route have not yet been elucidated.Western medicine mainly adopts oral and topical antifungal drugs in clinical treatment,but with the large number of clinical applications,it is easy to produce drug resistance,and it is easy to recur after stopping the drug,and some patients will have obvious adverse reactions during oral drug treatment,and the medication has certain limitations.Traditional Chinese medicine has a long history of treating tinea pedis,and it is widely used in clinical practice,with small toxic side effects and unique advantages.Besides,the treatment methods are diverse,which are mainly external treatment,the convenient application is direct to the lesion,and the commonly used dosage forms are lotions,powders,tinctures,ointments,etc.,in addition,there are traditional Chinese medicine special therapies such as acupuncture and moxibusion..After a long period of clinical testing,it is enough to prove its effectiveness and safety.The paper provides an overview of the progress of internal and external treatment of traditional Chinese medicine and the integrative medicine in the treatment of tinea pedis in recent years,with a view to providing new ideas for clinical treatment.
作者
谢盼盼
李廷保
XIE Panpan;LI Tingbao
出处
《中医临床研究》
2023年第6期142-146,共5页
Clinical Journal Of Chinese Medicine
关键词
足癣
中医药
研究进展
Tinea pedis
Traditional Chinese medicine
The research progress
