摘要
三焦焦膜既是气津输布之路径,又是病邪入侵之道路,与皮肤黏膜在生理上相互协同,病理上相互影响.认为慢性荨麻疹以邪客三焦、膜络挛急、津气不利为核心病机,其中卫气不充、邪客三焦为发病之始,正邪交争、膜络挛急为中间环节,津气不利、血行受阻为终末阶段.治疗上以疏达三焦为核心,内治以开达腠理、驱邪外出,自拟固本疏风汤为基本方加减;结合外治以疏调膜络、利气行津、三焦并治,常以膻中穴割治疗法利气行津、神阙穴封脐疗法充养营卫、血海穴天灸疗法行血通络.
Abstract
The membranous tube of sanjiao(三焦)is not only the path of the transport of fluid and qi,but the way of the invasion of pathogenic factors,therefore,it cooperates with the skin mucous membrane physically and influ-ence on each other pathologically.It is believed that the core pathogenesis of chronic urticaria is pathogens intruding sanjiao,membrane collaterals acute spasm,and fluid and qi disturbance,of which defense qi insufficiency and patho-gens intruding sanjiao initiates the disease,while struggle between healthy and pathogenic qi and membrane collater-als acute spasm is the intermediate stage,and disturbed fluid,qi and blood movement is the terminal stage.Following the core treatment principle of dredging sanjiao,the internal treatment is to open striae and interstices and dispel pathogens out using self-made Guben Shufeng Decoction(固本疏风汤)modifications,and the external treatment is to dredge and regulate membrane collaterals,move qi and fluid,and treat sanjiao simultaneously,commonly using cut-ting therapy on Danzhong(RN 17)to move qi and fluid,seal umbilical therapy on Shenque(RN 8)to supplement and nourish ying-wei(营卫),and natural moxibustion on Xuehai(SP 10)to move blood and unblock collaterals.
基金项目
国家中医药管理局全国名中医(国中医药人教发[2022]5号)
四川省中医药管理局中医药科学技术研究专项(2023MS420)
维普
万方数据