Medication Experience in the Treatment of Senile Cutaneous Pruritus with Siwu Sanse Jing Fang Cao Decoction
Senile cutaneous pruritus often occurs in people aged 60 years and above,with complex etiology and pathogenesis,and long-term onset will affect the quality of sleep and physical and mental health of patients.YU Zengrui,a famous Chinese physician,thinks that the basic traditional Chinese medicine etiology and pathogenesis of senile cutaneous pruritus is blood deficiency and wind dryness.As the elderly have weak Qi and blood,blood cannot nourish the skin,generating the endogenous wind,and the excessive wind induces cutaneous pruritus,hence the principle of treatment should be blood-nourishing and wind-expelling.Yu's self-proposed"Siwu Sanse Jing Fang Cao decoction"was is customized from the Danggui yinzi.Danggui yinzi was originally recorded in the"Yanshi Jisheng Fang"written by Yan Yonghe in the Song Dynasty as a commonly used effective prescription for skin diseases of blood deficiency and wind dryness type.Physician Yu made good use of modified"Siwu Sanse Jing Fang Cao decoction"to treat senile cutaneous pruritus through combination of various drugs,syndrome differentiation-based treatment and treatment of both syndrome and etiology,and provided prescription for nourishing qi and blood,moisturizing skin,dispelling wind,eliminating pathogen,and relieving itching,which exhibited significant therapeutic effect.The author intends to introduce physician Yu's medication experience in the treatment of senile cutaneous pruritus of blood deficiency and wind dryness type in detail from the aspects of symptom differentiation,origin and development of prescriptions,combination and modification of components,and clinical cases,etc.,so as to provide new ideas and methods for the clinical medication for the disease.
blood deficiency and wind drynesssenile cutaneous pruritusfamous physician's experiencetraditional Chinese medicineYU Zeng-rui
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