高祥福分期论治皮肌炎经验介绍
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R249;R593.26

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浙江省名老中医专家传承工作室建设项目(GZS2020027)


Experience of GAO Xiangfu in Treating Dermatomyositis by Phases
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    摘要:

    介绍高祥福教授分期论治皮肌炎的临床经验。高祥福教授认为,皮肌炎属中医皮痹病范畴,病机 关键为肺脾两脏虚损,湿热毒瘀内侵合而发病。根据正邪标本的偏重、病情的缓急,提出分期论治的治疗原 则。急性期治疗应清热解毒,活血通络,兼以清热利湿,以祛邪为主,方选四妙勇安汤合麻杏石甘汤加减;延 缓期治疗应补脾益肺,清热利湿,和血护络,以固护正气为主,兼顾清除余邪,方用黄芪桂枝五物汤合四妙勇 安汤加减。随症用药有特色,以麻黄、白术表里双泄去内外湿;以中药内治煨脓生肌治疗皮肤溃疡;以肺痈论 治合并的间质性肺病;以兼加土茯苓、苦参、黄芩、藤梨根等中药防治抗肿瘤。

    Abstract:

    Abstract: To introduce the clinical experience of Prof. GAO Xiangfu in treating dermatomyositis by stages. Prof. GAO believes that dermatomyositis belongs to the category of skin impediment in Chinese medicine,and its key pathogenesis is the occurrence of deficiency and depletion of the lung and spleen and the internal invasion of damp-heat,toxin and stasis. According to the bias of healthy qi and pathogenic qi and the root and branch,as well as the urgency of the disease,GAO put forwards the treatment principle of treating by stages. In the acute phase,the treatment is to clear heat and resolve toxins,invigorate blood and unblock the collaterals, and clear heat and drain dampness, and mainly remove pathogenic factors; the prescriptions should be modified Simiao Yong'an Tang combined with Maxing Shigan Tang. In the delay phase, the treatment is to supplement the spleen and boost the lung, clear heat and drain dampness, harmonize blood and protect collaterals,and mainly consolidate and protect healthy qi,and eliminate the remaining pathogenic qi;the prescriptions should be modified Huangqi Guizhi Wuwu Tang combined with Simiao Yong'an Tang. GAO's medication according to different syndromes is of great characteristics: to purge the internal and external dampness by Ephedrae Herba and Atractylodis Macrocephalae Rhizoma purging the interior and exteroior;to treat skin ulcer by internal application of Chinese herbs roasting pus and generating skin;to treat concomitant interstitial lung disease from lung abscess;to prevent and treat tumors by using Smilacis Glabrae Rhizoma,Sophorae Flavescentis Radix,Scutellariae Radix and Actinidiae Chinesis Radix.

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柳锐凡,指导:高祥福.高祥福分期论治皮肌炎经验介绍[J].新中医,2022,54(24):207-211

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  • 在线发布日期: 2023-01-01
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