基于“龙雷之火”理论浅析温潜法治疗脓疱型银屑病

Discussion on Wen Qian method for treatment of Psoriasis Pustulosa based on the theory of“Long Lei Fire”

脓疱型银屑病是银屑病中病情较重的一种类型,病因涉及遗传、免疫及感染等多种因素。目前,中医多从“清热解毒”“凉血消斑”等方面着手,然而在临床上以此治法诊治小儿、老年或久病脓疱型银屑病疗效欠佳。“龙雷之火”是一种病理状态,因命门火衰、脾阳亏虚,致阳气衰微、阴霾弥漫所表现出的虚阳浮越病证,本文基于“龙雷之火”理论,以“水寒不藏龙”为小儿、老年或久病脓疱型银屑病的病机要点,温补脾肾以治阳虚之本,潜镇固摄以治浮阳之标,使“龙雷之火”安守其位,阴平阳秘,精神乃和,病便自安。本文以“龙雷之火”理论为切入点,浅析温潜法治疗小儿、老年或久病脓疱型银屑病的应用。

Psoriasis pustulosa is one of the more serious types of psoriasis,and its causes involve various factors such as genetics,immunity and infection.At present,traditional Chinese medicine mostly starts from“clearing heat and detoxifying”and“cooling blood and eliminating spots”,but in clinical practice,this treatment method is not effective in treating paediatric,elderly and long-standing pustular psoriasis.“Long Lei Fire”is a pathological state in which the deficiency Yang floating over is caused by the deficiency of Yang in the spleen and kidneys.Based on the theory of“Long Lei Fire”,this paper takes that“Coldness”is the main point of the psoriasis pustulosa in children,elder and psoriasis pustulosa with prolonged illness.This treatment principle is to lead the fire back to the original and guide the dragon into the sea,then bodies have reached the balance of yin and yang,and their reproductive function is norma.Based on the theory of“Long Lei Fire”,this article explores the application of Wen Qian method for the treatment of paediatric,elderly and long-standing pustular psoriasis.