基于“心肾合肤”探讨儿童特应性皮炎的中医证治

Traditional Chinese medicine syndrome differentiation and treatment of pediatric atopic dermatitis based on the theory of“heart and kidney harmony in the skin”

特应性皮炎(atopic dermatitis,AD)在儿童群体中发病率较高,主要归属中医学“奶癣”“胎癣”等范畴。“心肾合肤”是心肾维持皮肤正常功能的高度概括,心肾不合,水火失济,可引起阴阳水火、气血津液、精神失调,影响皮肤的生理功能,导致AD的发生。从“心肾合肤”角度,结合小儿生理病理特点,阐释儿童AD的核心病机为心肾失合,水火失济。AD急性期火盛水衰失济,治以滋肾清心,强调壮水抑火;缓解期心虚肾亏失合,治以宁心养肾,重视心肾相合。