特应性疾病从肺肾论治的理论文献研究

Research on the Theory of Literature for Treating Atopic Diseases from the Lung and Kidney

通过检索文献发现先贤们对特应质疾病临床表现进行了诸多系统而详细的描述,如"奶癣"、"湿疮"、"四弯风"可与特应性皮炎互参,"鼻鼽"可与变应性鼻炎互参,"哮病"与"喘证"可与支气管哮喘互参,历代文献将此类疾病的发病的内在基础归结为肺肾两虚,而在此病理基础之上的痰饮、风寒、瘀血、火毒、湿热等都是疾病之标。具体来说,肺输精于皮毛,司腠理开合,卫阳来源于肾,在膀胱的气化作用下通过三焦敷布于肌表,以温养腠理毫毛,肺肾两虚则皮毛失于温养濡润、不能卫外固表发为"湿疮、风疹"。"肺气通于鼻,肺和则鼻能知香臭矣。"肺肾二脏在经络上相互连属,在五行中相互滋生,因此足少阴肾亦通过手太阴肺与鼻窍发生密切关系,肺虚则鼻窍不利,肾虚则涕液失于摄纳。肺主呼气,为气之主;肾主纳气,为气之根,肺肾两虚则肺不能布散津液,肾不能蒸化水液津液不归正化凝结成痰,壅塞气道,上气喘鸣。

Through the literature search we can find there are manifestations of system and detailed descriptions about the atopic diseases,such as‘Naixian＇,‘Shichuang＇,‘Siwanfeng＇,which can refer to atopic dermatitis. The＂Biqiu＂can refer to allergic rhinitis. The＂Xiaozheng＂and＂Chuanzheng＂can refer to bronchial asthma. Deficiency of lung and kidney is considered by the literature as the pathological basis of these diseases. Phlegm retention,cold,blood stasis,fire toxin,dampness and heat are regarded as auxiliary factors of diseases. Lung is associated with skin through the circulation of defensive Qi. At the same time the defensive Qi is derived from the kidney. Therefore,deficiency of lung and kidney can cause malnutrition of the skin. Lung and kidney have a close relationship with the nose,and the nose can smell and the smell is based on the health of lung and kidney. The function of the lung is expiration. The function of the kidney is inspiration. Deficiency of lung and kidney can cause breathing difficulties.