从“风火”论治变态反应性疾病思路
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第六批全国老中医药专家学术继承工作项目(国中医药办人教函﹝2017﹞125号);北京中医药科技发展资金项目(QYSF-2020-03)——武维屏教授“调肝理肺”理论指导下合方论治支气管哮喘的经验推广与应用研究


Discussion on the Treatment of Allergic Diseases from the Perspective of “Wind Fire”
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    摘要:

    变态反应性疾病临床常见,其病位虽不同,但病机却有一定共性。总体而言,人体阴阳协调,则一气周流,如“春风”生养万物。一旦各种原因导致阳气郁而不升或逆而不降,疏布失常的“阳气”在人体内过度聚集,愈郁则愈欲疏泄,久积必终向外透解,如“风火”之邪侵及人体各处皮肤孔窍,则会出现相关部位的过敏症状。临床诊治中,根据变态反应性疾病发作的病机,常用熄风火以缓症状、透余热以防复发、养脉络以促复原、调五脏以兼标本等治法,并坚持以辨证为先、因势利导、急缓有异、清透兼施、整体局部辨证结合等为治疗原则,取得了良好疗效。文末列举一则验案加以说明,希望帮助读者更好理解和应用。

    Abstract:

    Allergic diseases are common in clinical practice,and although their locations are different,their pathogenesis has certain commonalities.Overall,the coordination of yin and yang in the human body results in the circulation of qi,like the “spring breeze” that nourishes all things.Once various reasons lead to the stagnation of yang qi without ascending or descending in reverse,the disorderly distribution of “yang qi” accumulates excessively in the human body,and the more depressed it becomes,the more it wants to release.If the accumulation persists for a long time,it will eventually penetrate outward.If the evil of “wind and fire” invades various skin pores and orifices in the human body,allergies in relevant parts will occur.In clinical diagnosis and treatment,according to the pathogenesis of allergic disease onset,commonly used methods include extinguishing wind and fire to alleviate symptoms,permeating excess heat to prevent recurrence,nourishing the veins to promote recovery,and regulating the five internal organs to treat both symptoms and root cause,adhering to the principles of syndrome differentiation as the first,guiding according to the situation,distinguishing between acute and slow symptoms,applying both heat-clearing and pathogenic-expelling,and combining overall and local syndrome differentiation,good therapeutic effects have been achieved.At the end of the article,a medical case is provided to illustrate and help readers better understand and apply it.

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高伟,武维屏.从“风火”论治变态反应性疾病思路[J].世界中医药,2024,(06).

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  • 收稿日期:2023-04-05
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  • 在线发布日期: 2024-05-31
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