长安流派基于冬病夏治理论辨治硬皮病经验浅析

Experience Analysis on Distinguishing and Treating Scleroderma by Chang’an School with the Theory of“Winter Disease Summer Treatment”

长安医学成氏皮肤病学术流派是长安医学流派的重要组成部分,对硬皮病病机认识亦秉承长安医学流派之精髓,通过对长安医学成氏皮肤病学术流派现存医案及论著分析,发现其硬皮病辨治理论存在以下特色:(1)理论特色:脾肾阳虚,寒湿瘀阻为硬皮病发生的主要病机;秉承《黄帝内经》冬病夏治理论特色,强调脾胃阳虚及寒湿瘀阻在不同硬皮病时期发生中的作用;(2)用药特色:强调临证加减注重辨因及具体部位针对用药;具体用药上善用"冬病夏治"特色疗法。

Changan medical CHENG’s skin disease academic schools is an important part of medical schools,understanding of scleroderma pathogenesis is adhering to the essence of Chang’an medical schools,through the Chang’an medicine CHENG’s skin disease academic schools existing basis and discourse analysis,found the scleroderma syndrome differentiation theory is the following characteristics:(1)Theoretical features:the spleen kidney Yang deficiency,cold dampness and blood stasis resistance to scleroderma main pathogenesis;adhering to the theory of treating diseases in winter and summer in Huangdi Neijing,this paper emphasizes the role of spleen and stomach Yang deficiency and cold dampness and stasis in the occurrence of scleroderma in different periods.(2)Characteristics of drug use:emphasis on adding and subtracting attention to the cause and specific parts for the use of drugs;specific use of"winter disease summer treatment"characteristic therapy.