中医药临床优势病种探讨——特应性皮炎
Expert Consensus on Clinical Diseases Responding Specifically to Traditional Chinese Medicine:Atopic Dermatitis
刘俊峰 1莫秀梅 2莫美 3李红毅 2林颖 1张霄潇 4陈达灿2
作者信息
- 1. 广东省中医院,广州 510120
- 2. 广东省中医院,广州 510120;广东省中医皮肤病研究所,广州 510120
- 3. 现代中药创制全国重点实验室,天津 300410
- 4. 中华中医药学会,北京 100029
- 折叠
摘要
特应性皮炎(AD)是临床常见的瘙痒性、慢性炎症性皮肤病,是中医药治疗的优势病种之一.随着生物制剂和小分子药物的上市,诊疗指南、临床路径、疾病的全程管理等标准的制定与实施,中重度特应性皮炎临床疗效得以明显提升,但是目前仍存在诸多未能满足的临床需求,需要更多有效的方法来满足这些临床需求.为落实《中共中央国务院关于促进中医药传承创新发展的意见》和全国中医药大会精神,中华中医药学会组织中医皮肤科、西医皮肤科、交叉学科、产业等20余名专家,围绕AD治疗中的难点和中医优势进行了探讨.中医药治疗AD不但可以改善皮疹、缓解瘙痒,而且可以解决存在的诸多兼证;丰富的中医外治疗法可针对不同的特殊人群、不同的皮疹特点发挥其优势作用;中医治未病的理念契合于特应性进程的预防、治疗、防止复发的慢病管理模式;此外,中医药疗法可减少外用糖皮质激素的使用量,且安全性较好.AD的共病应倡导中西医并重、多学科联合治疗,实现患者受益最大化.中西医之间的相互交流明确了中医药干预AD过程中的定位和优势,为临床和科研提供了指导.
Abstract
Atopic dermatitis(AD)is a common pruritic and chronic inflammatory dermatosis in clinical practice and is one of the diseases responding specifically to traditional Chinese medicine(TCM).With the launch of biological agents and small molecule drugs and the development and implementation of guidelines of diagnosis and treatment,clinical pathways of treatment of moderate to severe AD,and consensus on the whole-process management of AD,the clinical efficacy of moderate to severe AD has been significantly improved.However,there are still many unmet clinical needs that require more effective methods to meet.In response to the Opinions of the CPC Central Committee and the State Council on Facilitating the Inheritance,Innovation,and Development of Traditional Chinese Medicine and the spirit of the National Conference on TCM,the China Association of Chinese Medicine organized more than 20 experts in TCM dermatology,Western medicine dermatology,interdisciplinary fields,and industries to discuss the difficulties and advantages of TCM in the treatment of AD.TCM treatment for AD can not only improve rash and relieve itching but also solve many concomitant syndromes.The abundant external treatment methods of TCM have advantages for different special populations and rash characteristics.The concept of treating disease before its onset in TCM is in line with the chronic disease management mode of prevention and treatment of atopic march and prevention of recurrence.In addition,TCM therapy can reduce the use of topical glucocorticoids and has good safety.Regarding the comorbidity of AD,equal emphasis on TCM and Western medicine and multidisciplinary joint treatment should be advocated to achieve maximum benefit for patients.The exchange of TCM and Western medicine has clarified the positioning and advantages of TCM intervention in AD,providing guidance for clinical and scientific research.
关键词
特应性皮炎/优势病种/中医药疗法/多学科联合诊疗/专家指导建议Key words
atopic dermatitis/diseases responding specifically/TCM therapy/multidisciplinary joint diagnosis and treatment/expert guidance and suggestions引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
维普
万方数据