牛阳教授治疗带状疱疹经验探析

Discussion on the Experience of Professor Niu Yang in the Treatment of Herpes Zoster

带状疱疹是由水痘-带状疱疹病毒引起,以剧烈疼痛为主要特征的一种临床常见的皮肤病。牛阳教授认为,带状疱疹的病机主要为肝胆湿热之毒,急性期治疗以清利肝胆湿热毒邪为主,方用龙胆泻肝汤加减;后期后遗神经痛主要病机为瘀热互结,治疗以清热化瘀为主,方用清营汤加减。在临床中,虽然有诸多治疗急性期带状疱疹疗效的报道,但单纯中药治疗后期后遗神经痛的研究却较为少见。现对牛阳教授的临床治疗经验进行总结分析。

Herpes zoster is a common skin diseases which has acute pain as the main characteristics is caused by the varicella-zoster virus.Professor Niu Yang believes that herpes zoster＇s pathogenesis is mainly caused by poison of the liver and gallbladder damp heat,and is treated with Longdan Xiegan decoction. The main pathogenesis of postherpetic neuralgia is stasis and hot alternating knot,the therapy gives priority to clear heat and dispersing blood stasis,and is treated with modified Qingying decoction. Although there are a lot of curative effect of acute herpes zoster,pure traditional Chinese medicine in the treatment of postherpetic neuralgia is rare. Now the clinical experience of Professor Niu Yang is analyzed and summarized.