从阴阳论治带状疱疹

Herpes Zoster Treated According to Yin-Yang Theory

带状疱疹多发于春夏,多为热证(阳证),主方使用龙胆泻肝汤清肝泄火解毒;带状疱疹若发于秋冬,当谨慎辨证,也可由寒毒所致(阴证),病机多为寒邪导致经络气血凝滞,以羌活胜湿汤为主加减,也有用除湿胃苓汤加减取得较好疗效。后遗证属于久病必虚,虚者补之的范畴,或兼有余邪或瘀证,临证可灵活选用补阳还五汤,桃红四物汤、黄芪桂枝五物汤等。

Herpes zoster mainly appears in spring and summer,and is embodied as pyretic syndrome（ also known as yang syndrome）,and treated with Gentian Liver-Draining Decoction to clear liver fire and remove toxicity. If herpes zoster appears in autumn and winter,syndrome differentiation should be cautious： It may be caused by cold evil（ also known as yin syndrome）,and pathogenesis is cold evil leading to blocked meridians and stagnated qi and blood; It should be treated with Notopterygium Dampness-Drying Variant Decoction,or Stomach-Calming Poria Variant Decoction for Removing Dampness. The sequel are due to deficiency after a long illness which should be supplemented,or due to residual evils or stagnated syndrome which should be treated with Yang-Supplementing and Five-Returning Decoction,or Peach Kernel and Carthamus Four Substances Decoction or Astragalus and Cinnamon Twig Five Substances Decoction,etc. according to exact clinical symptoms.