麻黄类方在皮肤病辨证治疗中的应用探析

An Analysis of the Application of Mahuang(Ephedra)Prescriptions in the Treatment Based on Syndrome Differentiation for Skin Diseases

麻黄类方是指以《伤寒论》中麻黄汤作为母方,在母方的基础上做加减化裁而得到的一组方剂。皮肤病病位在皮肤,发病机制与营卫不和、邪气闭塞密切相关,又有“肺主皮毛”将皮肤与肺脏的功能密切关联,而麻黄类方有调和营卫、发汗透邪、宣降肺气之功,因此麻黄类方可有效治疗各种皮肤病。笔者本文主要通过对麻黄方溯源引出麻黄类方治疗皮肤病的理论基础,进一步探讨麻黄类方在皮肤病中的具体应用,以期为经方在皮肤病中的临床应用提供更多理论支撑。

Mahuang(ephedra)prescriptions refers to a group of prescriptions obtained by taking Mahuang Decoction in the Treatise on Cold Pathogenic Disease as the mother prescriptions and adding,reducing and cutting on the basis of the mother prescriptions.The pathogenesis of skin diseases is closely related to the disharmony of Ying and Wei and the occlusion of evil qi,and"the lung governs the skin and hair",which means that the skin is closely related to the function of the lung,while the ephedra prescription has the function of harmonizing Ying and Wei,generating sweat to penetrate evil qi,and declaring and lowering lung qi.In this paper,the authors focus on the theoretical basis of Mahuang(ephedra)prescriptions for the treatment of skin diseases by tracing the origin of Mahuang(ephedra)prescriptions,and further discusses the specific application of Mahuang(ephedra)prescriptions for skin diseases in order to provide more theoretical support for the clinical application of classic prescriptions in skin diseases.