从正气存内邪不可干角度探讨自血疗法治疗慢性荨麻疹

Discussion on Autohemotherapy in the Treatment of Chronic Urticaria from the Perspective of Pathogenic Cannot Attack When Vital Qi in the Body

荨麻疹,中医又称“瘾疹”,是一种以特征性水肿性风团,伴皮肤瘙痒为主要表现的慢性皮肤疾病,降低了患者的生活质量。目前现代医学对于荨麻疹的病因病机研究尚不清楚,临床主要采用抗组胺药联合免疫调节剂进行治疗,短期控制效果较好,但长期疗效难以巩固,且有抑制中枢神经等不良反应。多数中医医家认为荨麻疹的基本病机是禀赋不耐、外感邪气、饮食不节和情志内伤。作者从“正气存内,邪不可干”的角度认为扶助正气应贯穿在治疗慢性荨麻疹的始终。

Urticaria,also known as“addiction rash”in traditional Chinese medicine,is a chronic skin disease characterized by characteristic edematous wind mass and skin pruritus,which reduces the quality of life of patients.At present,the etiology and pathogenesis of urticaria are not clear in modern medicine.Antihistamines combined with immunomodulators are mainly used in clinic,with good short-term control effect,However,the long-term efficacy is difficult to consolidate,and there are adverse reactions such as inhibition of central nervous system.Most traditional Chinese medicine doctors believe that the basic pathogenesis of urticaria is endowments intolerance,exogenous evil qi,improper diet and internal emotional injury.From the perspective of“pathogenic cannot attack when vital qi in the body”,the author believes that supporting healthy qi should run through the treatment of chronic urticaria.