清热除湿汤在皮肤病治疗中的辨证应用
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北京市医院管理局培育计划(PZ2016029);燕京赵氏皮科流派传承工作室(LPGZS2012-03);北京市中医药科技发展资金规划项目(JJ2018-55)


Syndrome Differentiation Application of Qingre Chushi Decoction in the Treatment of Skin Diseases
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    摘要:

    清热除湿汤是北京中医医院的院内制剂,由著名的中医皮外科专家赵炳南教授所研制,是临床常用的治疗湿热所致皮肤病的经验方,由龙胆草、黄芩、生地黄、车前草、生石膏、白茅根、大青叶、六一散组成,具有清热除湿、凉血解毒的作用,临床用于治疗急性湿疹、过敏性皮炎、带状疱疹等多种皮肤病,疗效较好。根据“异病同治”的中医治则,目前还扩展应用于痤疮、脂溢性皮炎、银屑病、激素依赖性皮炎等属于湿热证者。从清热除湿汤的药物组成、功用主治、配伍应用、药理研究等方面阐述清热除湿汤的辨证应用,旨在传承名老中医的临床经验,并加以灵活运用,发挥传统有效方剂的特色,为患者解决病痛。

    Abstract:

    Qingre Chushi Decoction was an in-hospital preparation of Beijing Hospital of Traditional Chinese Medicine, developed by the famous Chinese medicine skin surgery expert Mr.Zhao Bingnan.It is a common clinical experience prescription for treating dermatosis caused by dampness and heat, composed of Radix Gentianae, Radix Scutellariae, Radix Rehmanniae Recens, Herba Plantaginis, Gypsum Fibrosum, Rhizoma Imperatae, Folium Isatidis, Liuyi Powder.It has the effect of clearing heat and removing dampness, cooling blood and detoxifying, and has a good effect of clinical application in the treatment of acute eczema, allergic dermatitis, herpes zoster and other skin diseases.According to the TCM rules of “treating different diseases with same method”, currently it is also applied to acne, seborrheic dermatitis, psoriasis, hormone dependent dermatitis and so on which are part of damp heat syndrome.This paper expounded the syndrome differentiation application of Qingre Chushi Decoction from the aspects of its composition, function and treatment, compatibility application, pharmacological research and so on, in order to inherit the clinical experience of famous veteran doctors of TCM, and to use it flexibly, so as to bring into play the characteristics of traditional effective prescriptions, solving the pain for the patient.

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杨岚,姜春燕,李伯华,周冬梅.清热除湿汤在皮肤病治疗中的辨证应用[J].世界中医药,2019,(12).

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  • 收稿日期:2019-01-11
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  • 在线发布日期: 2020-02-10
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