从“脾与皮玄府”认识糖尿病慢性湿疹病机及“风药开玄”治疗思路

Study on the Pathogenesis of Diabetic Chronic Eczema Based on“Sleep and Skin Porus Sudoriferus”and the Use of Dispelling Wind Herb

糖尿病慢性湿疹归属中医学"消渴湿疮"范畴,是一种常见的糖尿病慢性皮肤并发症。岳仁宋教授结合临床经验,认为消渴湿疮发病多因过食肥甘厚味,内生湿浊,困扼脾之玄府,玄府不通,湿浊蕴积化热羁留,湿热浸渍,于肌肤之表闭塞皮之玄府,消渴湿疮由生。治疗上当以开通玄府为治病之纲,以风药为常用药物,理气、胜湿、散热、调血以开玄,使气机得畅,消渴湿疮得治。

Diabetic chronic eczema belongs to the category of"Xiaoke-Wet Sores"in traditional Chinese medicine.It is a common chronic skin complication of diabetes mellitus.Professor YUE Rensong,combines with clinical experience,believes that the cause of"Xiaoke-Wet Sores"is overeating fat,sweet and thick foods,and dampness born.Dampness pathogen in our body will block porus sudoriferus of spleen.Porus sudoriferus occlude,Qi-resistancelag.Dampness pathogen will always accumulates heat,dampness and hot pathogen will impregnate the porus sudoriferus of the skin,lead to diabetic chronic eczema.The mainstay of treatment is opening sweat pore.The dispelling wind herb is the commonly used medicine,which open porussudoriferus by regulating flow of Qi,resolving dampness,clearing heat,and regulating blood.Sothe Qi activity can be regular,the"Xiaoke-Wet Sores"can be cured.