首页|李应存教授基于《辅行诀脏腑用药法要》五味理论从肝脾体用论治慢性湿疮经验

李应存教授基于《辅行诀脏腑用药法要》五味理论从肝脾体用论治慢性湿疮经验

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慢性湿疮是一种反复发作的慢性瘙痒性皮肤病,症状缠绵难愈,影响患者的身心健康。李应存教授从肝脾体用角度分析,认为慢性湿疮的核心病因为肝脾体用失调,肝体藏血,脾体藏营,营血不足则不荣养肌肤;肝用为肝主疏泄,疏泄失调则气血不畅,瘀阻肌肤;脾用为脾主运化,健运失调则湿邪蕴结,浸淫肌肤。《辅行诀脏腑用药法要》是一部重要的敦煌遗书,其提出独特完整的"五脏体实用虚辨证"体系,李教授基于此运用辛、甘味药以重补肝脾之用,酸、苦味药以调节肝脾之体和所苦,并结合患者实际情况,选方考虑敦煌疗风虚瘦弱方合大泻肝汤加减化裁,以供临床治疗慢性湿疮提供新的理法方药。
Professor Li Yingcun's experience in treating chronic eczema based on liver and spleen substance and function from five flavors theory in Fuxingjue Zangfu Yongyao Fayao
Chronic eczema is a recurring chronic pruritus skin disease with lingering symptoms,which affects physical and mental health of patients.From the perspective of liver and spleen substance and function,Professor Li Yingcun believes that core disease of chronic eczema is due to dysfunction of liver and spleen substances.Liver body stores blood,spleen body stores blood,and insufficient blood does not support skin;liver is responsible for regulating qi and blood flow,so when this regulation becomes dysfunctional,it can lead to poor circulation and blockages in skin;spleen is responsible for regulating function of spleen,and if health function is disrupted,dampness and evil will accumulate and soak skin.Fuxingjue Zangfu Yongyao Fayao is an important Dunhuang book,which puts forward a unique and complete system of"five zang-organs practical substance strong and function weak".Professor Li used pungent,sweet medicine to strengthen function of liver and spleen,sour,bitter medicine to regulate the substance of liver and spleen,chooseing to consider Dunhuang Liaofengxu Shouruo Decoction combined with Daxiegan Decoction,in order to provide a new prescription for clinical treatment of chronic eczema.

Chronic eczemSubstance and functionFuxingjue Zangfu Yongyao FayaoFive flavors theory

屈宏德、马骏、李应存

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甘肃中医药大学基础医学院,甘肃兰州 730000

慢性湿疮 体用 《辅行诀脏腑用药法要》 五味理论

国家社会科学基金一般项目

22BYY038

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(27)