李元文从肝脾论治小儿特应性皮炎经验

LI Yuanwen's Experience in Treating Children's Atopic Dermatitis from Liver and Spleen

总结李元文治疗小儿特应性皮炎的临证经验。认为小儿特应性皮炎的核心病机为肝郁脾虚,提出以疏肝健脾、调血熄风为主要治法,自拟加味过敏煎。临证时将小儿特应性皮炎兼夹证型主要分为心火亢盛、血热毒盛、湿邪壅盛、脾胃失和、血虚风燥、阳虚血瘀6种证型,以加味过敏煎进行辨证加减治疗,并配合青石止痒软膏外治。

This paper summarized LI Yuanwen's clinical experience in treating children with atopic dermatitis.It is considered that the core pathogenesis of children's atopic dermatitis is liver constraint and spleen deficiency, for which the main treatment methods are soothing the liver and fortifying the spleen, regulating blood and extinguishing wind, and self-made Jiawei Guomin Decoction(加味过敏煎) can be used. In clinical practice, children with atopic dermatitis are mainly divided into six types including heart fire hyperactivity, blood heat and exuberant toxin, damp pathogen congestion, disharmony of spleen and stomach, blood deficiency and wind-dryness, and yang deficiency and blood stasis. Jiawei Guomin Decoction with modifications in accordance with differentiated syndromes is recommended together with external used Qingshi Zhiyang Ointment(青石止痒软膏).