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庞鹤辨治下肢丹毒经验

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庞鹤教授认为下肢丹毒根据病程可分为急性期和慢性期,急性期为火毒夹湿所致,多为实证,急性期未得及时治疗则转为慢性丹毒,可见脾虚有瘀,为本虚标实之证.治疗上当以祛邪为首要任务,灵活选择清热解毒、凉血解毒、滋阴清热之法;同时还要注意引邪外出,使邪气或向外散发,或从大小便而解.此外,在疾病治疗的全过程中均应根据湿与热的轻重程度合理选方,强调活血化瘀、注意顾护脾胃、积极防治变证.
Professor PANG He's Experience in Differentiation and Treatment of Erysipelas of Lower Limbs
Professor PANG He believes that erysipelas of lower limbs can be divided into acute stage and chronic stage according to the course of disease.The acute stage is caused by fire poison mixed with dampness,which is mostly excess syndrome.If the acute stage is not treated in time,it will turn into chronic erysipelas,which is characterized by spleen-deficiency with stasis,and is the syndrome of deficiency in origin and excess in superficiality.In terms of the treatment,the primary goal is dispelling evils and flexibly choosing the method of clearing heat and detoxification,cooling blood and detoxification,nourishing yin and clearing heat.Meanwhile,attention is given to inducing the evils to go out,releasing pathogenic factor outwards or dissolving from urine or feces.In addition,in the whole process of disease,reasonable prescription should be selected according to the severity of humidity and heat,and emphasize promoting blood circulation and removing blood stasis,pay attention to the care of the spleen and stomach,and actively prevent the changes of syndrome.

erysipelas of lower limbsfire poison mixed with dampnessclearing heat and detoxifica-tioncooling blood and detoxificationnourishing yin and clearing heatpromoting blood circulation and removing blood stasispaying attention to the care of the spleen a

胡红娟、陈小均、徐孟娇、袁文雯、金潇、原方、张凡帆、庞鹤

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北京中医药大学东方医院,北京 100078

北京中医药大学,北京 100105

下肢丹毒 火毒夹湿 清热解毒 凉血解毒 滋阴清热 活血化瘀 顾护脾胃 庞鹤

全国名老中医药专家传承工作室建设项目(第七批)全国名老中医药专家传承工作室建设项目北京中医药大学基本科研业务费青年教师项目北京市科委首都市民健康培育项目

040103005002028国中医药人教发[2014]20号2019-JYB-JS-150Z151100003915132

2024

10.16295/j.cnki.0257-358x.2024.05.018

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(5)
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