摘要
张磊教授认为结节性红斑病机特点为风热蕴肤、热郁化毒,痰湿结聚、气滞络瘀以及气损及阳、寒凝血结;并通过审证求因,总结出结节性红斑的“辨治三要”,分别是初起察顺逆、清透防寒凝,局部参整体、细分湿痰瘀以及奇邪溢孙络、搜剔须扶正;进而分型论治,证型包括风热拂郁证、毒热内郁证、血热络瘀证、湿热壅滞证、痰气交阻证、痰瘀互结证、气虚血结证和阳虚寒凝证。
Professor ZHANG Lei believes that wind heat accumulating in the skin,heat depression transforming into toxin,accumulation of phlegm and dampness,stagnation of qi and blood stasis,loss of qi and coagulation of yang and cold congelation and blood stasis are main pathogenesis of erythema nodosum.Through examining the evidence and seeking the cause,the‘three points of differentiation and treatment'of nodular erythema are summarized,which are to observe the smoothness and inversion at the beginning,clear away the cold and prevent coagulation,combine the local and the whole,subdivide the wet phlegm and blood stasis,overflow the collaterals of strange evil,search and eliminate the beard and strengthen the health.Then the treatment is divided into types,including wind heat brushing depression syndrome,toxin heat internal depression syndrome,blood heat collateral stasis syndrome,dampness heat stagnation syndrome,phlegm gas rent syndrome,phlegm and blood stasis syndrome,qi deficiency and blood stasis syndrome and yang deficiency and cold coagulation syndrome.
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,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第4期1804-1807,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
河南省特色骨干学科中医学学科建设项目(No.STG-ZYX04-202132)。
关键词
结节性红斑
瓜藤缠
名医经验
张磊
Erythema nodosum
Vine tangling
Experience of famous doctors
ZHANG Lei