温病学说在皮肤瘙痒症的临床应用

Clinical application of doctrine of seasonal febrile disease in the cutaneous pruritus

皮肤瘙痒症是一种仅有皮肤瘙痒而无原发损害的皮肤病。中医又称风瘙痒、痒风、血风疮、诸痒、逸风疮等,根据其发病部位还可称为阴痒、后通痒、谷道痒、爪风疮等。一般认为,本病由内、外因所致。内因多与脏腑气血有关,外因常与风、湿、热、虫相关。文章从卫气营血辨证论治及三焦辨证论治两大方面简要分析了温病学说在皮肤瘙痒症的临床应用。

Cutaneous pruritus is one skin disease only manifested as itching, instead of causing by primary lesions. Traditional Chinese medicine also named it pruritus due to wind pathogen, itching-wind, general papular eczema, all-prnritus, flee-wind sore （senile skin pruritus） etc. According to the location of the disease, it was also named pruritus vulvae~ anus pruritus, anal itching, claw-wind boils etc. It is generally believed that there are internal and external causes both play role in the disease. Internal causes are associated with zang-fu and qi-blood, and external causes are associated with wind, humidity, heat and insects. This paper attempts to make a brief analysis on clinical application of seasonal febrile disease in cutaneous pruritus, from aspect of wei-qi-ying-xue syndrome differentiation and triple-energizer syndrome differentiation.