Syndrome Differentiation and Treatment of Atopic Dermatitis Based on the Theory of Heart Being the Master of Five Zang-and Six Fu-organs
Atopic dermatitis(AD)is a common clinical skin disease with an increasing incidence year by year.Patients usually suffer from chronic eczema with intense itching that is persistent and difficult to cure,significantly impac-ting the quality of their daily life and mental state.AD has been considered a systemic psychosomatic disorder.Based on the classical theory in the Huangdi's Internal Classic·Spiritual Pivot·Invasion of Pathogenic Factors(Huang Di Nei Jing·Ling Shu·Xie Ke)that heart is the master of five zang and six fu-organs in traditional Chinese medicine(TCM),this paper examined the etiology and mechanism of AD from three aspects:heart as the fire organ,the ruler of blood,and the a-bode of the spirit.Physiological abnormalities of the heart can lead to up-flaming of heart fire,malnourishment of heart blood,and imbalance of heart spirit,which in turn may initiate or exacerbate the symptoms of AD,related sleep disturb-ances,and other abnormal mental states.Therefore,in treating AD,addressing the heart is emphasized.Following the prin-ciple that the heart is the master of five zang and six fu-organs,this paper proposed therapeutic strategies include cooling the heart,reducing fire,banking up the earth,generating water,nourishing and activating blood,soothing the liver,fortifying the spleen,tranquilizing the heart,calming the spirit,and alleviating itching.A holistic approach in treating both the body and mind,balancing multiple organs,and considering both physical and psychological aspects was recommended,along with a case study to broaden the perspective for TCM treatment of AD.
Atopic dermatitisTreatment from the heartHeart being the master of five zang and six fu-organs
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