中医药治疗过敏性紫癜研究进展

A review on the TCM treatment of Henoch-Schonlein purpura

过敏性紫癜是一种常侵犯皮肤或其他器官的微血管及微血管后静脉的过敏性小血管炎,中医常将其纳入“血证”“肌衄”“斑疹”“紫癜风”等疾病的范畴。文章主要从该病的中医病名源流、病因病机、中医辨证施治及中西医结合治疗等方面进行论述,通过梳理发现对于本病病机的认识以“风”“热”“湿”“毒”“瘀”“虚”为主。在辨证施治过程中对本病进行分型及分期论治,根据分型及分期的特点灵活治疗,分型论治时根据不同情况进行合理的变化,同时注重扶正与祛邪兼顾,分期论治时不同医家虽然分期不同,但在治疗过程中都将扶正思想置于较为重要的位置,治疗时均注重把握患者正气之盛衰与否。此外在辨证施治时从经典理论中寻找治疗本病的新思路,并以中医经典理论为指导不断在临床上进行实践。在对本病的中西医结合治疗进行研究时发现中西医结合治疗在临床上有着更好的疗效,对降低复发率及不良反应亦有明显的效果。文章对中医药治疗过敏性紫癜的研究进行整理,以及对本病的病因病机进行梳理,进而对最新的研究进展及过敏性紫癜的中医诊治和中西医结合治疗作进一步的探讨,总结过敏性紫癜的相关研究成果及临床诊疗经验,为临床治疗本病提供一定的诊疗思路。

Henoch-Schonlein purpura is a kind of allergic small vasculitis that often invades the microvessels and posterior veins of skin or other organs.It is often included in the category of“blood syndrome”,“muscle bleeding”,“macular rash”,“purpura”and other diseases in traditional Chinese medicine.The paper mainly discusses the disease form the origin of TCM disease name,etiology and pathogenesis,TCM syndrome differentiation and treatment of integrated TCM and Western medicine and so on.Through combing and sorting out the related literature,it is found that the main understanding of the pathogenesis of this disease is wind,heat,dampness,poison,blood stasis and deficiency.In the process of syndrome differentiation and treatment,the disease is treated flexibly according to the characteristics of different types and stages,and reasonable changes are made according to different conditions while paying attention to both strengthening healthy Qi(气)and dispelling evil.Although different doctors use different stages in staging treatment,the idea of strengthening healthy Qi is put in a more important position in the process of treatment,and attention is paid to the rise and fall of patients’vital Qi during treatment.In addition,based on syndrome differentiation,the classical theory is used to find a new way to treat the disease from the classical theory,and continues to practice in clinic under the guidance of the classical theory of traditional Chinese medicine.In the study of integrated TCM and western medicine,it is found that integrated TCM and Western medicine has a better clinical effect,which can also reduce the recurrence rate and adverse reactions.This paper sorts out the research on the treatment of Henoch-Schonlein purpura in traditional Chinese medicine,combes the etiology and pathogenesis of this disease,and then further discusses the latest research progress,traditional Chinese medicine diagnosis and treatment and integrated TCM and Western medicine treatment of Henoch-Schonlein purpura,the relevant research results and clinical diagnosis and treatment experience of Henoch-Schonlein purpura are summarized,with a prospect of providing some ideas for clinical treatment of this disease.