Professor XU Shucai's clinical experience in treating senile skin pruritus with the Mahuang Guizhi Geban decoction
Senile pruritus refers to a skin disease that has no obvious primary skin lesions but only itching.It is more common in females than males and is more common in winter.Its pathogenesis is not completely clear,and may be related to many factors.The etiology is complex,and the condition is repeated.The treatment of senile pruritus in modern medicine is mainly based on prevention and education,coolants,anesthetics,antihistamines,glucocorticoids,opioid receptor antagonists and serotonin receptor antagonists.These drugs are effective in short term,but there will be adverse reactions in the long-term use,which is a great challenge to the physical condition of the elderly.Because the disease is prone to recurrent attacks,with long treatment cycle,prolonged illness,long-term itching,emotional anxiety and depression,insomnia and increased economic burden,it has a great negative impact on the physiological and psychological status of patients.TCM treatment of this disease includes two means,one is the treatment based on syndrome differentiation of TCM,the other is external treatment,such as acupuncture,acupoint injection,acupoint catgut embedding,acupoint massage,cupping,scraping,TCM fumigation and so on.Clinically,different therapies are effective in the treatment of senile pruritus.In recent years,TCM has significant advantages in the treatment of this disease compared with Western medicine alone.Based on the clinical experience and based on the traditional theory of TCM,Professor XU Shucai put forward the etiology and pathogenesis of spleen deficiency as the basis and blood stasis and fever as the target.He used the modified combination of the Mahuang Guizhi Geban decoction(麻黄桂枝各半汤)to treat this disease.The treatment is based on protecting the spleen and stomach,dispersing the stasis heat,nourishing blood and moistening dryness,with remarkable curative effects,providing a reference for the clinical treatment of senile skin pruritus in TCM.
The Mahuang Guizhi Geban decoctionSenile pruritusSpleen deficiencyStagnant heat
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