摘要
钱乙基于小儿体质及脏腑特点创立五脏理论。导师孙占学教授取象小儿形体脏腑之“纯阳之体”“脏气清灵”特点,与头面部皮毛官窍相比类,认为头面作为“诸阳之会”“清阳之府”,皮毛卫外为固,五官连络五脏,易受风火阳邪及五脏郁火侵犯,因此在辨治头面部皮肤病时,重视五脏辨证,用药轻灵中正,与钱乙用药思路不谋而合。临床运用导赤散、泻白散、泻黄散、泻青丸合益黄散、地黄丸等方剂加减治疗头面部皮肤病疗效显著。本文旨在探讨孙占学教授基于钱乙五脏理论在头面部皮肤病的辨治思路,从风火阳邪,五脏郁火角度解析头面部皮肤病,开拓中医药治疗皮肤病的思路,以飨同道。
Qian Yi founded the five zang organs theory based on the characteristics of children's physique and viscera.Professor Sun Zhanxue compared the skin and sense organs of head and face with children's physique and viscera characterized by“Chun Yang”,and“Qi's agility”and thought that the head and face were regarded as“the meeting of all Yang”and“the house of Qingyang”,the skin and fur are solid to protect the body against pathogenic factors,the five sense organs were connected with the five zang organs,and they were susceptible to wind and fire evil and the YuHuo of five zang organs.As a result,the differentiation of the five zang organs was emphasized in the treatment of cephalic and facial dermatosis,using light and proper medications,which coincides with Qian Yi's medication ideas.The clinical application of Daoci San,Xiebai San,Xiehuang San,Xieqing Wan and Yihuang San,Dihuang Wan and other prescriptions has a remarkable effect on the treatment of cephalic and facial dermatosis.The purpose of this review is to explore Qian Yi's five zang organs theory in the treatment of cephalic and facial dermatosis,analyze the cephalic and facial dermatosis from the perspective of the wind-fire-yang pathogens and the YuHuo of the five zang organs,and explore the treatment of skin diseases by traditional Chinese medicine.
作者
张萱
孙占学
马胜南
张莉莉
ZHANG Xuan;SUN Zhanxue;MA Shengnan(The Third Clinical College of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Dermatology and Venereology,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《四川中医》
2025年第1期6-10,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
国家中医药管理局全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)
北京中医药大学“岐黄英才·名医培育计划”(编号:Y2023A05)。
关键词
钱乙五脏理论
头面部皮肤病
名医经验
Qian Yi's five zang organs theory
Cephalic and facial dermatosis
Famous doctor's experience
