世界中医药

记述姜建国教授治疗湿疹反复发作16年案例、银屑病8年案例、痤疮20年案例、黄褐斑6年案例，各1例。从3个方面总结出姜老师辨治顽固性皮肤病的经验：辨证为主，参照病症特点，主张在辨证用方基础上，适当配合对病、对症用药；从毒立论，擅用虫类药物，认为皮肤病日久不愈，湿热、瘀血、痰湿等相互搏结成毒，单纯的祛湿、活血往往难有成效，运用虫类药，搜风攻毒，收效显著；依法伤寒，汤丸结合运用。临证不死守经方，然理法不离其宗，擅长运用《伤寒论》变法诊疗思路。取法仲景，治疗慢性发作性疾病多汤丸结合。

English Summary:

This paper selected 1 medical case from each of 16-year cases of recurrent attack of eczema, 8-year cases of psoriasis, 20-year cases of acne and 6-year cases of chloasma by Prof. Jiang Jianguo respectively, with 4 medical cases in total. This paper summarized Jiang's experience in the treatment of intractable skin diseases from the following three aspects：1) Gave priority to pattern differentiation, with reference to the characteristics of symptoms. He advocated making prescription based on pattern differentiation, according to disease and symptoms. 2) established the theory from pathogenic toxin and make proper use of insect drugs. He believed that skin disease is hard to treat due to interaction of dampness heat, blood stasis, phlegm dampness transforming into toxin. The treatment with simple clearing dampness, invigorating blood circulation often achieved little. The application of insect drugs can dispel wind and combat toxin with significant effect. 3) Apply the comprehensive combination of decoction and pill in the treatment based on the law of Treatise on Cold Damage. Remaining the essence of the principles of treatment instead of cling to the classical prescription, Prof. Jiang made good use of the diagnosis and treatment thought from Treatise on Cold Damage. Treating methods were leant from Zhang Zhongjing, and treating the chronic relapsing disease was often combined with decoction and pill.

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