中医临床研究2024,Vol.16Issue(30) :74-77.DOI:10.3969/j.issn.1674-7860.2024.30.012

王军文教授从肝经论治艾滋病皮肤瘙痒经验总结

Professor WANG Junwen's experience in treating AIDS skin pruritus from the liver meridian

李海玲 谢梦 邓玉霞 王军文
中医临床研究2024,Vol.16Issue(30) :74-77.DOI:10.3969/j.issn.1674-7860.2024.30.012

王军文教授从肝经论治艾滋病皮肤瘙痒经验总结

Professor WANG Junwen's experience in treating AIDS skin pruritus from the liver meridian

李海玲 1谢梦 1邓玉霞 2王军文1
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作者信息

  • 1. 湖南中医药大学第二附属医院,湖南 长沙,410005
  • 2. 东莞市中医院,广东 东莞,523000
  • 折叠

摘要

皮肤瘙痒是艾滋病(Acquired Immunodeficiency Syndrome,AIDS)患者最常见的并发症之一,容易反复发作,且缠绵难愈,发作时瘙痒难耐,夜不能寐.因其影响因素之多和病因的复杂性,使AIDS皮肤瘙痒目前尚无系统的治疗方案,是临床工作中的难题之一.30多年来,王军文教授一直致力于运用中医药防治AIDS工作,对AIDS皮肤瘙痒的病因病机和诊治有独到见解,临床经验颇丰.此文章介绍了王军文教授从肝经论治AIDS皮肤瘙痒的临床经验.王军文教授认为AIDS患者患病后,由于心理和生活的双重压力,一方面容易情志抑郁,另一方面也容易虚劳乏力,失去活下去的激情和信心.王军文教授认为AIDS皮肤瘙痒的发生与肝密切相关,肝为五脏之贼,对疾病的发展及严重程度起着至关重要的作用,综合临床调研总结经验,王教授认为分别应用疏肝理气解郁法、清利肝经湿热法、培补肝肾法、滋养肝血法对肝气郁滞证、肝经湿热证、肝肾亏虚证、肝血亏虚证等四个证型辨证施治,选方用药,方能达到药到"痒"除之效.笔者从跟诊实践角度出发,对王军文教授治疗AIDS皮肤瘙痒经验进行了总结,望能给临床工作者治疗AIDS皮肤瘙痒提供新思路,为进一步提高临床疗效奠定基础,从而有效缓解患者皮肤瘙痒的症状,缓解患者痛苦,提高患者的生活质量.

Abstract

Skin pruritus is one of the most common complications of AIDS patients.It is easy to recur and lingering and difficult to heal.When it occurs,itching is intolerable and leads to sleepless at night.There is no systematic treatment plan for AIDS skin pruritus due to many influencing factors and the complexity of etiology,which is one of the difficult problems in clinical work.For more than 30 years,Professor WANG Junwen has been committed to the use of traditional Chinese medicine to prevent and treat AIDS,and has unique insights into the etiology,pathogenesis,and diagnosis and treatment of AIDS skin pruritus.This article introduces Professor WANG Junwen's clinical experience in treating AIDS skin pruritus from the perspective of liver meridian.Professor WANG Junwen believes that AIDS patients are prone to emotional depression on the one hand,and fatigue on the other hand,and lose their passion and confidence to survive due to the dual pressure of psychology and life.Professor WANG Junwen believes that the occurrence of AIDS skin pruritus is closely related to the liver,the liver is the thief of the five viscera,and plays a crucial role in the development and severity of the disease.It is believed that the four types of syndrome such as liver-qi stagnation syndrome,liver-meridian dampness-heat syndrome,liver-kidney deficiency syndrome and liver-blood deficiency syndrome can be treated by the method of soothing the liver and regulating Qi(气)and resolving depression,the method of clearing dampness-heat and benefiting the liver,the method of nourishing the liver and kidney,and the method of nourishing the liver and blood,respectively.Syndrome differentiation and treatment and the selection of prescription medicine can achieve immediate effects and relieve iching effectively.From the perspective of follow-up practice,the author summarizes the experience of Professor WANG Junwen in the treatment of AIDS skin pruritus,hoping to provide new ideas for clinical workers in the treatment of AIDS skin pruritus,and lay a foundation for further improving clinical efficacy,so as to effectively alleviate the symptoms of patients with skin pruritus,relieve patients'pain,and improve the quality of life of patients.

关键词

肝经/艾滋病皮肤瘙痒/经验

Key words

Liver meridian/AIDS skin pruritus/Experience

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出版年

2024
中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
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