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秦艽丸治疗泛发性脓疱型银屑病临证阐析

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泛发性脓疱型银屑病是皮肤科的疑难重症,严重时可能危及患者生命.中医皮外科创始人及奠基者赵炳南教授认为本病是由湿、热、毒互结郁于血分,发于肌肤所致,疾病后期易化瘀,并导致气血失和.秦艽丸有凉血活血、除湿解毒、养血益气之效.赵炳南教授运用秦艽丸临证加减治疗泛发性脓疱型银屑病,热象重者加用槐花、丹参,湿象重者加白鲜皮、地肤子、苦参、土茯苓、苍术、白术,顽湿不退者加虫类药物,阴血亏耗者加当归、生地黄.秦艽丸能够缓解皮损糜烂黏腻、脓疱、红肿疼痛之象,促进皮损消退.
Clinical analysis of Qinjiao Pills in treatment of generalized pustular psoriasis
Generalized pustular psoriasis is a difficult and severe dermatological disease,which may endanger the patient's life in severe cases.Professor ZHAO Bingnan,the founder of traditional Chinese medicine skin surgery,believes that the disease is caused by dampness,heat,and toxins stagnant in the blood,which occurs in the skin.In the later stage of the disease,it is easy to remove blood stasis and lead to the disharmony of qi and blood.Qinjiao Pills has the effects of cooling blood and promoting blood circulation,dehumidification and detoxification,nourishing blood and replenishing qi.Professor ZHAO Bingnan used Qinjiao Pills clinical modification to treat generalized pustular psoriasis,for patients with severe heat symptoms,pagodatree flower and danshen root are also used;if the dampness is severe,add densefruit pittany root-bark,belvedere fruit,lightyellow sophora root,glabrous greenbrier rhizome,atractylodes rhizome,and largehead atractylodes rhizome;if the dampness persists,add insecticides;if the yin blood is depleted,add Chinese angelica and unprocessed rehmannia root.It can relieve the signs of skin erosion,stickiness,pustules,redness,swelling and pain,and promoting the regression of skin lesions.

Generalized pustular psoriasisQinjiao PillsZHAO BingnanExperience of famous doctorsTraditional Chinese medicine

张瀚元、徐旭英、孙丽蕴

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首都医科大学附属北京中医医院,北京 100010

泛发性脓疱型银屑病 秦艽丸 赵炳南 名医经验 中医

国家自然科学基金全国中医临床优秀人才研修项目(第五批)北京市医院管理中心"登峰"人才培养计划

81774309国中医药人教函[2022]1号DFL20220801

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(4)
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