王晖调体脱敏汤辨治过敏体质

WANG Hui Treating Allergic Constitutionwith Syndrome Differentiation

王晖主任中医师认为过敏体质属特异性复杂体质,往往兼患多种过敏性疾病,或先后患多种变态反应性疾病,更为复杂,疾病往往反复发作,迁延不愈,病程漫长,临床表现繁杂,往往虚实错杂,病因多端,病机复杂,很难归类到八大偏颇体质,甚至用混合体质也不能归纳解释,不能简单沿用非特异性体质的病因病机理论,也不能单一的从肝从风,从伏邪,从营卫失和论治。王师发现过敏体质多为阴虚质燥之体,营血中又有湿热内伏,易受风、热、湿、毒等戾气影响而发病;血分湿热,日久进一步耗伤阴血,化燥生风,尤其对于病程长、反复发作、迁延不愈的患者,更容易出现阴血亏虚,生热生风。王晖认为过敏体质本质是阴虚阳亢,提出过敏体质的基本病机为阴虚血热生风,夹湿夹毒。防治过敏性疾病、调整过敏体质、把控过敏体质基本病机是关键,不能一厢情愿寄希望于阻挡过敏原进入人体,应通过调整体质,调节机体异常免疫机能,使过敏原从"有害"变为"无害"。创立调体脱敏汤(乌梅、五味子、生地、银柴胡、黄芩、防风、羌活、蝉蜕、僵蚕)。针对一体多病,病机复杂患者,提出要始终把握基本病机,动态掌握阶段病机,精细梳理兼夹病机,细心探索潜伏病机,果断处理即时病机的治疗原则。附过敏性鼻炎验案1则。

WANG Hui, the chief physician of Chinese medicine believes that allergic constitution is specific and complex, and often suffers from various allergic diseases one after another, while it is more complicated, often reeurrents, and has long course and complicated clinical manifestations. During the course of disease, etiology and pathogenesis are often complicatedandchangeable, mixed with deficiency and excess.So it is difficult to be classified into eight biased constitution or mixed constitution, and it can＇t be interpreted simply even from the pathogenesis of nonspecific constitution or treatment principle varying According to the liver and wind, cubativepathogend and disharmony betweennutrient Qi and defensive Qi. Hehas found that allergic constitution is dryness due to Yin deficiency,dampness-heatlurkinginnutrient and blood, and more susceptible to wind, heat, dampness, toxin; Espeeiallyin the case of thepatientswith aprotracted, recurrent course, deficiency of Yin-blood and wind heat more often occure because dryness-wind resulted from Yin- blood damage due to damp-heat in bloodafteritlastsforalongtime. WANG Hui considersallergie constitution isyindeficiencyandyanghyperactivityin nature so he puts forward that the basic pathogenesis of allergic condition is wind rooting in Yin deficiency and blood heat, being.mixed up withdampness and toxic. Then for the sake of the prevention and treatment of allergic diseases, coordinationof the allergic condiction and control on the basic pathogenesis of allergic eonstition is the key, while hoping to block allergens into the human body isjustwishfuhhinking, Weshould changeallergens from ＂harmful＂ into ＂harmless＂ by adjusting the constitution, regulating the abnormal immune function. He has created the decoction forcoordination of condietion and desensitization（ebony, rehmannia, schisandra, bupleurum,scutellaria,silver wind, notopterygium, cicada, silkworm）. According to the development of diseases, he suggests treatment principle is that doctoresshould always grasp the basic pathogenesis, sort out the mixed up pathogenesis intensively, trace the latent pathogenesis carefully and treating the instant pathogenesis determinedly. PS：1 cases of allergic rhinitis.