国医大师禤国维运用皮类中药治疗皮肤病经验

Chinese Medical Master XUAN Guo-Wei’s Experience in Treating Skin Diseases by Using Skin-Related Chinese Medicinals

基于“以皮治皮”理论,运用皮类中药治疗皮肤病是中医“整体辨证”与“取象比类”思维的体现。国医大师禤国维教授以阴阳为本,从皮肤病“阴阳失衡,外见于皮”的核心病机出发,将“以皮治皮”与“平调阴阳”理论相结合,发挥皮类中药在治疗皮肤病的独特优势。具体临证时,常采用蝉蜕配伍白鲜皮祛风止痒以治疗变态反应性皮肤病,乌豆衣配伍白鲜皮祛风补肾以治疗色素减退性皮肤病,牡丹皮配伍地骨皮滋阴清热活血以治疗自身免疫性皮肤病,桑白皮配伍地骨皮泻肺滋肾以治疗皮脂分泌异常性皮肤病。皮类中药具有祛风透疹、补肾滋阴等功效,“以皮治皮”的用药思路指导治疗皮肤病,可为皮肤科疾病的临床诊治提供借鉴。

In accordance with the theory of‘treating the skin diseases with the skin’,skin-related Chinese medicinals are usually used for the treatment of skin diseases,which reflects the thinking mode of holistic syndrome differentiation and classification according to the manifestations in traditional Chinese medicine.With ying-yang theory as the principle of differentiation and treatment of diseases and based on the core pathogenesis of‘yin-yang imbalance causing the manifestations of the skin’for the skin diseases,Chinese medical master XUAN Guo-Wei has used skin-related Chinese medicinals in the treatment of skin diseases and has given full play to their unique advantage by following the theory of‘treating the skin diseases with the skin’and‘balanced regulation of yin and yang’.In the clinical practice,allergic skin diseases were usually treated with Cicadae Periostracum plus Dictamni Cortex for dispelling wind and relieving itching,hypopigmentation related skin diseases were usually treated with Sojae Semen Nigrum skin plus Dictamni Cortex for dispelling wind and tonifying kidney,autoimmune skin diseases were usually treated with Moutan Cortex plus Lycii Cortex for nourishing yin,clearing heat and activating blood,and skin diseases associated with abnormal sebum secretion were usually treated with Mori Cortex plus Lycii Cortex for purging lung and nourishing kidney.Skin-related Chinese medicinals have the actions of expelling wind and promoting eruption of papules,tonifying kidney and nourishing yin.The medication method of‘treating the skin diseases with the skin’will provide reference for the treatment of skin diseases.