刘红霞教授基于“阴证学说”治疗难治性银屑病的经验

Professor Liu Hongxia’s experience in treating refractory psoriasis based on“theory of yin syndrome”

银屑病为皮肤科常见慢性炎症性疾病,反复发作,难以治愈,极易进展为难治性银屑病。刘红霞教授基于王好古“阴证学说”的思想,并结合新疆的地域特点,指出新疆地区难治性银屑病患者“本虚”的体质特点,燥、湿、瘀邪气蕴积成毒,本虚伏毒是发病的核心病机,病位在肝脾肾。刘红霞教授将难治性银屑病分为脾虚湿蕴证、脾肾两虚证、上热下寒证,提出健脾解毒、脾肾双补、引火归原、养血润肤的治疗原则,以健脾解毒汤为基础方,并根据病证特点加减用药,强调配合走罐、火疗、中药药浴法等中医外治疗法,内外同治,协同增效,为临床辨治难治性银屑病提供新思路。

Psoriasis is a common chronic inflammatory disease in dermatology,repeated attacks,difficult to cure,easy to progress to refractory psoriasis.Based on Wang Haogu’s thought of“theory of yin syndrome”and the regional characteristics of Xinjiang Uygur Autonomous Region,Professor Liu Hongxia pointed out that patients with refractory psoriasis in Xinjiang Uygur Autonomous Region had the physical characteristics of“root deficiency”,the interplay of dryness,dampness,and blood stasis culminated in the accumulation of toxic elements within the body.The root deficiency and latent toxicity were the core pathogenesis of the disease,which was located in the liver,spleen,and kidney.Professor Liu Hongxia divided refractory psoriasis into syndrome of spleen deficiency with dampness accumulation,syndrome of spleen-kidney deficiency,syndrome of upper heat and lower cold,and proposed the treatment principles of strengthening spleen and detoxing toxin,spleen and kidney double tonification,conducting fire back to its origin,nourishing blood and moisturizing skin.Based on the formula of Jianpi Jiedu Decoction,and according to the characteristics of the disease,Professor Liu Hongxia emphasized the external treatment of traditional Chinese medicine such as cupping,fire therapy,and traditional Chinese medicine bath,as well as internal and external treatment,synergizing effect.It provides a new idea for clinical differentiation and treatment of refractory psoriasis.