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姜泉症-证结合论治活动期银屑病关节炎经验

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活动期银屑病关节炎以皮损及关节炎为主要临床表现.姜泉认为血热内盛,泛溢肌肤,湿热胶结,痹阻关节是活动期银屑病反复发作缠绵难愈的根本原因,可根据皮损、关节炎之轻重采用症-证结合辨治.皮损为甚者,当先治之,以热入营血为核心,易裹挟湿热,故于犀角地黄汤凉血之中合苦参、蛇莓之类清热燥湿.关节肿痛者,以湿热痹阻为核心,掺挟血热,方用二妙散加土茯苓、萆薢清利湿热,配合牡丹皮、赤芍之类清血中伏热,可使血凉而湿热俱清,守方缓缓图之,病乃渐愈.
Jiang Quan's experience in the treatment of active psoriatic arthritis by combining both symptoms and syndromes
Active psoriatic arthritis is characterized by skin lesions and arthritis.Jiang Quan considers that the internal heat of blood overflowing to the skin,the binding of dampness and heat obstructing the joints are the root causes for the repeated attacks of protracted active psoriasis.She usually differentiates and treats the disease by combining its symptoms and syndromes based on the severity of skin lesions and arthritis.She treats skin lesions first as they grows severe,taking heat entering nutrient-blood as its core pathogenesis,which tends to carry dampness with it.Therefore,she uses Xijiao Dihuang Decoction to cool the blood,and combines the decoction with lightyellow sophora root,Indian mock strawberry,etc.,to clear heat and remove dampness.For those with swollen and painful joints,she takes damp-heat and blockade as its core pathogenesis,which is usually mixed with blood-heat,employing Ermiao Powder as well as glabrous greenbrier rhizome and Bixie to clear dampness and heat.In addition,she applies herbs such as tree peony root bark and peony root to clear heat in the blood.The aforementioned methods can cool blood and eliminate both dampness and heat in patients,curing the disease gradually.

psoriatic arthritissymptom-syndrome combinationexperience of renowned doctorsJiang Quan

常甜、姜泉、彭秋伟、王一燃、徐浩东、张富渊、夏聪敏、李达、管津智、陈芊莼

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中国中医科学院广安门医院,北京 100053

北京中医药大学,北京 100029

银屑病关节炎 症-证结合 名医经验 姜泉

国家重点研发计划项目

2018YFC1705202

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(1)
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