宋艳丽教授基于“治风先治血”探讨芪归润燥方治疗血虚风燥型特应性皮炎的经验总结

Discussion on Professor Song Yanli’s experience of Qigui Runzao Prescription in treating atopic dermatitis with type of wind and dryness due to blood deficiency based on“treating blood before treating wind”

本文介绍宋艳丽教授从“治风先治血”角度辨治特应性皮炎经验。宋教授认为特应性皮炎的中医发病机制包括血虚、血燥、血瘀、血热生风等,临床采用益气生血、养阴润燥、活血化瘀、清热凉血治法,并应用经验方芪归润燥方治疗,效果明显。因此,本文简要阐述“治风先治血”的理论内涵,并基于此探讨特应性皮炎相关病因病机,归纳本病“血”的虚实变化,进而引出宋教授应用芪归润燥方治疗本病的临床见解,侧重探讨组方思路和用药特色,并举验案,以资临床。

This article introduces Professor Song Yanli’s experience in treating atopic dermatitis from the perspective of“treating blood before treating wind”.Professor Song believed that the traditional Chinese medicine pathogenesis of atopic dermatitis includes blood deficiency,blood dryness,blood stasis,blood heat generating wind,etc.Clinical method of treatment is based on benefiting qi for promoting production of blood,nourishing yin and moistening dryness,promoting blood circulation for removing blood stasis,and clearing heat and cooling blood,and the empirical prescription Qigui Runzao Prescription is used to treat this disease,and the effect is obvious.Therefore,this paper briefly expounds the theoretical connotation of“treating blood before treating wind”,and based on this,discusses the related etiology and pathogenesis of atopic dermatitis,summarizes the deficiency and excess changes of“blood”in this disease,and then leads to Professor Song’s clinical insights on the application of Qigui Runzao Prescription in the treatment of this disease,focusing on the discussion of prescription ideas and drug characteristics,and gives a trial case for clinical reference.