ZHANG Ling's experience in treating psoriasis vulgaris based on the Xuanfu theory
Psoriasis is one of the dermatological diseases difficult to treat,which is a systemic disease associated with various factors such as internal and external environment,individual genes and genetics,and the body's own immunity.This disease poses a serious threat to the physical and mental health of patients,and there is currently no cure.TCM has unique advantages in treating this disease,which can effectively control skin lesions and other symptoms on the basis of syndrome differentiation and treatment.The therapeutic effect is definite and the safety is high.Xuanfu(玄 府),as a tiny structure scattered throughout the human body,is an important pathway for the distribution and circulation of Qi(气),blood,and body fluids in the human body.If the opening and closing of the Xuanfu are moderate,the normal distribution of Qi,blood,and body fluids will enable the normal functioning of the human body's physiological functions.If the opening and closing of the Xuanfu are lost,the cardinal mechanism will be disadvantageous,Qi and blood will stagnate,divine mechanisms will be lost,and various diseases will arise.Professor ZHANG Ling has rich clinical experience in the treatment of psoriasis.The professor believes that the pathogenesis of psoriasis is characterized by the stagnation and closure of the Xuanfu area,loss of control over opening and closing,and difficulty in infiltrating Qi,blood,and body fluids.In the process of treating psoriasis,attention should be paid to opening up the Xuanfu,restoring its function,and using methods such as dispelling evil and opening the Xuanfu,treating blood and opening the Xuanfu,and supplementing deficiency and opening the Xuanfu alone or in combination.The specific treatment methods include dispelling wind and heat,relieving external cold,clearing heat and promoting dampness,clearing heat and cooling blood,regulating Qi and activating blood,nourishing blood and moisturizing the skin,supplementing fire and Yang(阳),nourishing Yin(阴)and nourishing fluids.When treating psoriasis vulgaris,the combination of the above treatment methods is based on dispelling pathogenic factors,supporting the body,and expelling pathogenic factors.This allows the Xuanfu to open and close appropriately,with normal circulation of Qi,blood,and body fluids,and natural resolution of skin lesions.This article traces the Xuanfu theory and summarizes the clinical experience and modern research of the supervisor in treating psoriasis vulgaris through the Xuanfu theory.Additionally,one case is attached,hoping to provide some ideas for the treatment of this disease.
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