过敏性紫癜中医证治

Traditional Chinese Medicine of Allergic Purpura Profiles

过敏性紫癜小儿多见,也有部分成人发病。病因有外感和内伤,病机有虚实,实则热毒迫血妄行,虚则阴虚内热伤络,气虚失于统摄;病情迁延则气虚致瘀,瘀血阻络又易导致血液溢于脉外而复发。小儿外感因素居多,成人与饮食、情志和劳伤等因素更密切。发病无明显季节性,外感风、寒、暑、湿、燥、火均可致病。有阳络伤和阴络伤以及伤经络和伤脏腑不同",阳络伤则血外溢,阴络伤则血内溢"",斑出阳明,疹出太阴"。临床证型有热毒伤络、阴虚火旺、气不摄血和瘀血阻络等,热毒伤络型带有明显外感特征,其余三个证型则表现为内伤特征。前者多以疏风清热或清热解毒联合凉血止血方法,其余三个证型则滋阴清热或降火、健脾益气摄血或活血化瘀止血等。治疗体现止血、消瘀、宁血、养血总纲。

Children allergic purpura see more,there are some adult onset. The etiology of exogenous and internal injuries,pathogenesis is deficiency and excess,but the heat forcing blood folly,deficiency of Yin Qi deficiency failure to control injuring collaterals,persistent disease is Qi deficiency and blood stasis,blood stasis and easy to cause the blood spilled in the veins and recurrence. The majority of exopathic factors,adult and diet,emotional and taxation factors more closely. There is no obvious seasonal,the pathogenic wind,cold,summer heat,wet,dry,fire can cause. Yang and Yin collateral collateral injury injury injury injury as well as the main and collateral channels and internal organs are different, ＂Yang collaterals injured blood spillover,Yin collaterals injured blood within the overflow＂, ＂spot the Yangming,rash lunar＂. Clinical syndromes are heat toxin injuring collaterals,hyperactivity of fire due to yin deficiency,Qi failing to control blood and blood stasis,heat and toxin injuring collaterals type with obvious exogenous characteristics,the other three syndromes were wound characteristics. The former to Shufeng heat or heat clearing and detoxicating combined Liangxue hemostatic method,the other three syndromes are nourishing yin and clearing heat or fire,spleen qi blood and promoting blood circulation to remove blood stasis and hemostasis. Treatment of bleeding,Xiaoyu,reflect the blood,nourishing the master plan ning.