过敏性紫癜的中医病因病机与治疗
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河北省科技支撑计划项目课题(编号:JB00-10276188)


TCM Etiology and Treatments for Anaphylactoid Purpura
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    摘要:

    过敏性紫癜是一种过敏性毛细血管和细小血管的血管炎,引起血液和血浆外渗至皮下、黏膜下和浆膜下而出现皮肤或黏膜损害。本病好发于下肢,临床上以皮肤或黏膜发生紫红色瘀点,伴关节疼痛、腹部症状及肾脏损害为特征。中医称过敏性紫癜为“葡萄疫”,其病因病机为风湿热毒邪气袭表、饮食所伤、肝肾阴虚及气不摄血。针对其病因病机及临证将其分为风热伤络型、血热妄行型、湿热痹阻型、肝肾阴虚型、气不摄血五种证型进行中医辨证论治。此外亦包括针灸治疗及外治法。

    Abstract:

    Anaphylactoid purpura is a type of skin or mucosa damage resulting from blood and plasma extravasation to subcutaneous, mucosa and serosa caused by allergic capillaries and small vessels vasculitis. Normally occur in lower limbs, it is characterized by red petechia on the skin or mucous membranes, joint pain, abdominal symptoms and renal damage. It’s named “grape disease” in Chinese medicine, can be caused by rheumatic fever attaching the exterior, improper diet, liver and kidney yin deficiency and qi’s failure to control blood. In view of its pathogenesis and the clinical symptoms, it has the following sub-patterns: wind-heat invading collateral, bleeding due to blood-heat, dampness heat obstruction, liver and kidney yin deficiency, qi’s failure to control blood. In addition to treatments according to above patterns, acupuncture and external treatment are also used.

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师小萌 李领娥 边 莉 白艳秋 胡素叶.过敏性紫癜的中医病因病机与治疗[J].世界中医药,2012,7(6).

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  • 收稿日期:2012-09-11
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  • 在线发布日期: 2013-01-05
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