查旭山教授运用通脉四逆汤加减治疗关节型银屑病经验

Professor CHA Xushan's Experience in Treating Psoriatic Arthritis by Using Tongmai Sini Decoction

银屑病,俗称牛皮癣,属慢性自身免疫性皮肤病。中医临床上多从血热、血瘀、热毒等阳性证候进行辨证论治。查教授临证中发现,关节型银屑病患者表现出阳虚寒凝的特点;认为随着现代人生活习惯的改变,治疗银屑病当不拘泥于传统的辨证对于银屑病的认识,当以温法为核心治法;提出运用通脉四逆汤加减治疗阳虚寒凝型银屑病;并在临床应用上取得满意疗效。

Psoriasis,generally known as"cowhide-like dermatosis",is a chronic autoimmune skin disease highlighted by persistence and repentance. When processing syndrome differentiation of psoriasis,prevalently it is considered as Yang syndrome,such as blood heat,blood stasis,and heat toxin from clinical viewpoint of Chinese medicine. However,Professor CHA Xushan suggests that updating traditional convention of how to differentiate syndrome of psoriasis may better fit the actual cause of psoriasis nowadays. He notices the tendency of"Yang deficiency with cold accumulation"syndrome in psoriasis developing with modern life.To treat this Yin syndrome,Professor CHA puts the "warming therapeutic method"as the core role,then prescribes adjusted"Tongmei Sini Decoction". Clinical results indicate his selection brings remarkable improvements on this kind of psoriasis.